Natalie J Kenyon, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18255 Issued in MN

Practice address

600 N 2ND St Apt 120
Minneapolis, MN 55401

Phone

(612) 428-0043

Fax

(651) 846-4899

NPI assigned

Oct 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• NK Insights

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1700543238
  Medicare reassignment Authorized official
• Nathan & Associates, LLC

  • Clinical Social Worker
  • Roseville, MN
  • NPI 1982123345
  Medicare reassignment

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1528600145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N 2ND ST APT 120",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554013307",
            "telephone_number": "612-428-0043",
            "fax_number": "651-846-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N 2ND ST APT 120",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55401",
            "telephone_number": "612-428-0043",
            "fax_number": "651-846-4899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "638 Southbend Ave",
            "address_purpose": "LOCATION",
            "city": "Mankato",
            "state": "MN",
            "postal_code": "560012168",
            "country_code": "US",
            "telephone_number": "612-900-6401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2233 Hamline Ave N Ste 435",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MN",
            "postal_code": "551135023",
            "country_code": "US",
            "telephone_number": "612-444-9781",
            "fax_number": "651-846-4899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENYON",
        "first_name": "NATALIE",
        "middle_name": "J",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Kenville
• Kenwood Chiropractic Arts PA
• Kenwood Congregate Associates (The Kenwood)
• Kenwood Therapy Center, LLC
• Alexander Nicholas Kenyon-Johnson, DO
• Susan Alexandra Kenzie, DO
• Amy L. Kephart, LICSW
• Kelsi A. Kephart, OTR/L
• Kenneth N Kephart, MD
• Philip John Keple, LPN

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.