Active NPI
Joel Kennedy
- Clinical Social Worker
- Hutchinson, KS
National Provider Identifier
1629491790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4286
- Practice address
- 2700 E 30TH Ave
Ste 202
Hutchinson, KS 67502-1242 - Phone
- (620) 663-8484
- Fax
- (620) 663-7031
- NPI assigned
- Jan 27, 2014
- Last updated
- Dec 31, 2019
- Sex
- Male
- 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 | 4286 | KS | Primary |
Addresses
Primary practice location
2700 E 30TH Ave
Ste 202
Hutchinson, KS 67502-1242
Mailing address
2700 E 30TH Ave
Ste 202
Hutchinson, KS 67502-1242
Phone (620) 663-8484
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2700 E 30TH Ave
Hutchinson, KS 67502-1242
Phone (620) 663-8484
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Hutchinson, KS
- NPI 1871564534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577750400000",
"number": "1629491790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 E 30TH AVE",
"address_2": "STE 202",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675021242",
"telephone_number": "620-663-8484",
"fax_number": "620-663-7031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 E 30TH AVE",
"address_2": "STE 202",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675021242",
"telephone_number": "620-663-8484",
"fax_number": "620-663-7031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "JOEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-27",
"last_updated": "2019-12-31",
"certification_date": "2019-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "4286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.