Active NPI
Audra J Kinner, MSW LICSWMA
- Clinical Social Worker
- Pittsfield, MA
National Provider Identifier
1740333962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 102054
- Practice address
- 232 First Street
Pittsfield, MA 01201 - Phone
- (413) 499-3445
- NPI assigned
- Jan 19, 2007
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 102054 | MA | Primary |
Addresses
Primary practice location
232 First Street
Pittsfield, MA 01201
Mailing address
3 Smith Road
New Ashford, MA 01237
Phone (413) 458-0971
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851845 | Medicaid | MA | |
| P05710 | Other | MA | BCBS |
| P05710 | Other | CT | BCBS ANTHEM BC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1740333962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 SMITH ROAD",
"city": "NEW ASHFORD",
"state": "MA",
"postal_code": "01237",
"telephone_number": "413-458-0971",
"fax_number": "413-458-0971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 FIRST STREET",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "01201",
"telephone_number": "413-499-3445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINNER",
"first_name": "AUDRA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "MSW LICSWMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "102054",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1851845",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "P05710",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ANTHEM BC",
"identifier": "P05710",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.