Individual provider Active NPI

Jennifer Kane-Wiener, LCSW

  • Clinical Social Worker
  • Centennial, CO
National Provider Identifier
1750738910
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW.0009920719 Issued in CO
Practice address
7400 E Arapahoe Rd
Suite 104
Centennial, CO 80112-1279
Phone
(303) 517-2776
NPI assigned
May 18, 2016
Last updated
May 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2016

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 LSW.0009920719 CO Primary

Addresses

Primary practice location

7400 E Arapahoe Rd
Suite 104
Centennial, CO 80112-1279

Mailing address

15 Southmoor Dr
Denver, CO 80220-5930
Phone (303) 517-2776

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LSW.0009920719COMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1750738910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SOUTHMOOR DR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802205930",
            "telephone_number": "303-517-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 E ARAPAHOE RD",
            "address_2": "SUITE 104",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121279",
            "telephone_number": "303-517-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE-WIENER",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "LSW.0009920719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.