Kennington Condie, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

336328-3501 Issued in UT

Practice address

706 N State Road 51
Spanish Fork, UT 84660-1385

Phone

(801) 794-0318

Fax

(801) 794-9514

NPI assigned

Jul 9, 2010

Last updated

Jul 9, 2010By 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

Practice roles

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.

• Extended Family Girls, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Spanish Fork, UT
  • NPI 1497067268
  NPD (past)

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1669784427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 N STATE ROAD 51",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601385",
            "telephone_number": "801-794-0318",
            "fax_number": "801-794-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 N STATE ROAD 51",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601385",
            "telephone_number": "801-794-0318",
            "fax_number": "801-794-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDIE",
        "first_name": "KENNINGTON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "336328-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Cody
• Amy Colby
• Sarah Collins, TRS, CTRS
• Annabelle Colton
• Mark Comsa
• Candela Contreras
• Veloy K. Cook, D.O
• Elizabeth Cope
• Teresa Cope
• Corevia Medical Supply LLC

• Clinical Social Worker in Spanish Fork, UT
• Providers in Spanish Fork, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.