Individual provider Active NPI

Dana Renee Kahl, LCSW

  • Clinical Social Worker
  • Bradenton, FL
National Provider Identifier
1639480791
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW21948 Issued in FL
Practice address
5801 21St Ave W
Bradenton, FL 34209-5641
Phone
(941) 778-4888
NPI assigned
Jun 23, 2010
Last updated
Sep 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW21948 FL Primary

Addresses

Primary practice location

5801 21St Ave W
Bradenton, FL 34209-5641

Mailing address

279 Park Trace Blvd
Osprey, FL 34229-6801
Phone (941) 544-0415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20231016001348 FL Practitioner - Clinical Social Worker 2668827395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arg Innovations LLCGroup PAC ID 3779940838, 7 clinicians

Practice addresses (Care Compare)

5801 21St Ave W
Bradenton, FL 34209-5641
Phone (941) 778-4888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW21948FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arg Innovations LLC CurrentSince Nov 1, 2023 Accepting new patients
John P McDonough III PastSince Oct 1, 2004 Accepting new patients
Maria Harp Arnp Ms CS Inc Past Accepting new patients
GPS II Past Accepting new patients

Locations

5801 21st Ave W
Bradenton, FL 34209
Phone (941) 215-0899

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1639480791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 PARK TRACE BLVD",
            "city": "OSPREY",
            "state": "FL",
            "postal_code": "342296801",
            "telephone_number": "941-544-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 21ST AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095641",
            "telephone_number": "941-778-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHL",
        "first_name": "DANA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW21948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.