Rebecca Kinkade

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I1200410-SUPV Issued in OH

Practice address

255 W Main St
Saint Clairsville, OH 43950-1040

Phone

(740) 795-9447

Fax

(740) 695-8895

NPI assigned

Apr 3, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

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

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northwood Health Systems IncGroup PAC ID 4880600048, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Northwood Health Systems Inc

  • Community/Behavioral Health Agency
  • Wheeling, WV
  • NPI 1447473475
  Medicare reassignment Care Compare group NPD
• Crossroads Counseling Services, Inc.

  • Mental Health Counselor
  • Saint Clairsville, OH
  • NPI 1396211587
  NPD (past)
• Northwood Health Systems Inc

  • Community/Behavioral Health Agency
  • Wheeling, WV
  • NPI 1649277559
  NPD (past)

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1548792013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 BELMONT STREET",
            "address_2": "SUITE 516",
            "city": "BELLAIRE",
            "state": "OH",
            "postal_code": "43906",
            "telephone_number": "740-676-5741",
            "fax_number": "740-676-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W MAIN ST",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439501040",
            "telephone_number": "740-795-9447",
            "fax_number": "740-695-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINKADE",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1200410-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ITIN",
            "identifier": "101Y00000X",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaliyah Ann Kidd
• Holly Marie Kidd
• Justin T Kiger, MPT
• Kayla Danielle Kimmins
• Haley Marie King
• Taylor Nicole Kinkus
• Kendall Kirkbride, CDCA
• Morgan Klug, PMHNP-BC
• Jacquelyn Knight
• Ashley Nicole Knutsen

• Clinical Social Worker in Saint Clairsville, OH
• Providers in Saint Clairsville, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.