Active NPI
Hope Kerns-Pyke, LCSW
- Clinical Social Worker
- Logansport, IN
National Provider Identifier
1518154160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34005360A
- Practice address
- 1015 Michigan Ave
Logansport, IN 46947-1526 - Phone
- (574) 722-5151
- Fax
- (574) 739-1414
- NPI assigned
- Sep 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34005360A | IN | Primary |
Addresses
Primary practice location
1015 Michigan Ave
Logansport, IN 46947-1526
Mailing address
800 Fulton St
Logansport, IN 46947-1577
Phone (574) 722-5151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34005360A | Other | IN | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453161600000",
"number": "1518154160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 FULTON ST",
"city": "LOGANSPORT",
"state": "IN",
"postal_code": "469471577",
"telephone_number": "574-722-5151",
"fax_number": "574-739-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 MICHIGAN AVE",
"city": "LOGANSPORT",
"state": "IN",
"postal_code": "469471526",
"telephone_number": "574-722-5151",
"fax_number": "574-739-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERNS-PYKE",
"first_name": "HOPE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-27",
"last_updated": "2016-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34005360A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "34005360A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Logansport, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.