Active NPI
Kenneth Alan Todd, LCSW SW 13826
- Social Worker
- Pensacola, FL
National Provider Identifier
1669884730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- RCSWI LIC # ISW8687
- Practice address
- 4713 Northpointe CT
Pensacola, FL 32514-6647 - Phone
- (850) 225-1313
- NPI assigned
- May 23, 2014
- Last updated
- Dec 9, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | RCSWI LIC # ISW8687 | FL | Primary |
Addresses
Primary practice location
4713 Northpointe CT
Pensacola, FL 32514-6647
Mailing address
4713 Northpointe CT
Pensacola, FL 32514-6647
Phone (850) 225-1313
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RCSWI LIC # ISW8687 | FL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481241600000",
"number": "1669884730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4713 NORTHPOINTE CT",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325146647",
"telephone_number": "850-225-1313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4713 NORTHPOINTE CT",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325146647",
"telephone_number": "850-225-1313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TODD",
"first_name": "KENNETH",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "LCSW SW 13826",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-23",
"last_updated": "2016-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "RCSWI LIC # ISW8687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.