Wilburn Patrick Kane, MSW ACSW LCSW DCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000445 Issued in MO

Practice address

2100 E Broadway
Suite 213 Stephens Lake BLDG
Columbia, MO 65201-6082

Phone

(573) 449-0120

NPI assigned

May 25, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mr. Patrick Kane Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497966857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E BROADWAY",
            "address_2": "SUITE 213 STEPHENS LAKE BLDG",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016082",
            "telephone_number": "573-449-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E BROADWAY",
            "address_2": "SUITE 213 STEPHENS LAKE BLDG",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016082",
            "telephone_number": "573-449-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "WILBURN",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "MSW ACSW LCSW DCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "000445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICK",
            "last_name": "KANE",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Yuuki Kaminoh, DO
• Brittany Kammerich, MD
• Karishma Kandel, PA-C
• Jennifer Michelle Kandlik, F.N.P.
• Kevin Y Kane, M.D.
• Stephen Michael Kanne, PHD
• Rohini Kannuswamy, M.D.
• Kansas City Vamc
• Kansas City Vamc
• Kansas City Vamc

• Clinical Social Worker in Columbia, MO
• Providers in Columbia, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.