Kenneth C. Halvorson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SWI.LW.00005876 Issued in WA

Practice address

3227 Chapparel Dr SW
Tumwater, WA 98512-6365

Phone

(360) 969-1658

NPI assigned

Aug 9, 2021

Last updated

Aug 9, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1659045086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3227 CHAPPAREL DR SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985126365",
            "telephone_number": "360-969-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3227 CHAPPAREL DR SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985126365",
            "telephone_number": "360-969-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALVORSON",
        "first_name": "KENNETH",
        "middle_name": "C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SWI.LW.00005876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dona Hall
• Hayley Hall
• Kellie S Hall, LMHCA
• Victoria Hall, LMP
• Deborah S Halstead
• Samantha L Hamblet, O.D.
• Karen Lynne Hamilton
• Tammie Hamilton, LMT
• Pamela Handran, ARNP, RN
• Allison Hanelt, L.M.P.

• Clinical Social Worker in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.