Individual provider Active NPI

Kenneth R Sinkey, LISW

  • Clinical Social Worker
  • Bowling Green, OH
National Provider Identifier
1700079647
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0007016 Issued in OH
Practice address
1616 E Wooster St
Suite 24
Bowling Green, OH 43402-3478
Phone
(419) 352-4624
Fax
(419) 354-1774
NPI assigned
Aug 23, 2007
Last updated
Aug 23, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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 I-0007016 OH Primary

Addresses

Primary practice location

1616 E Wooster St
Suite 24
Bowling Green, OH 43402-3478

Mailing address

1 Stranahan SQ
Suite 414
Toledo, OH 43604-1447
Phone (419) 244-5511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050419000844 OH Practitioner - Clinical Social Worker 9537052352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1425 Starr Ave
Toledo, OH 43605-2456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-0007016OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Unison Behavioral Health Group, Inc. CurrentSince Feb 17, 2018 Accepting new patients

Locations

1084 S Main St
Ste A
Bowling Green, OH 43402
Phone (419) 352-4624

1011 Sandusky St
Ste C
Perrysburg, OH 43551

1425 Starr Ave
Toledo, OH 43605
Phone (419) 259-4506

544 E Woodruff Ave
Toledo, OH 43604
Phone (419) 242-9577

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.

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187827200000",
    "number": "1700079647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 STRANAHAN SQ",
            "address_2": "SUITE 414",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041447",
            "telephone_number": "419-244-5511",
            "fax_number": "419-321-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 E WOOSTER ST",
            "address_2": "SUITE 24",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434023478",
            "telephone_number": "419-352-4624",
            "fax_number": "419-354-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINKEY",
        "first_name": "KENNETH",
        "middle_name": "R",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0007016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

Verify at the official NPI Registry.