Individual provider Active NPI

Kylie Kent, LMSW

  • Clinical Social Worker
  • Corydon, IA
National Provider Identifier
1699459370
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
118967 Issued in IA
Practice address
102 N Franklin St
Corydon, IA 50060-1405
Phone
(641) 872-1750
NPI assigned
Jun 13, 2023
Last updated
Jun 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 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 118967 IA Primary

Addresses

Primary practice location

102 N Franklin St
Corydon, IA 50060-1405

Mailing address

102 N Franklin St
Corydon, IA 50060-1405
Phone (641) 872-1750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20240716002159 IA Practitioner - Clinical Social Worker 6608311519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infinity HealthGroup PAC ID 5597717496, 19 clinicians

Practice addresses (Care Compare)

102 N Franklin St
Suite 104
Corydon, IA 50060-1405
Phone (641) 872-1750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
118967IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Health CurrentSince Jun 8, 2024 Accepting new patients
Infinity Health CurrentSince Jun 8, 2024 Accepting new patients

Locations

102 N Franklin St
Corydon, IA 50060
Phone (641) 872-1750

102 N Franklin St
#104
Corydon, IA 50060
Phone (641) 872-1750

302 NE 14th St
Leon, IA 50144
Phone (641) 446-2383

Organizations & group practices 2

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": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1699459370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N FRANKLIN ST",
            "city": "CORYDON",
            "state": "IA",
            "postal_code": "500601405",
            "telephone_number": "641-872-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N FRANKLIN ST",
            "city": "CORYDON",
            "state": "IA",
            "postal_code": "500601405",
            "telephone_number": "641-872-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENT",
        "first_name": "KYLIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "118967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corydon, IA

Sources for this page

Verify at the official NPI Registry.