Active NPI
Jennifer Kane-Wiener, LCSW
- Clinical Social Worker
- Centennial, CO
National Provider Identifier
1750738910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LSW.0009920719
- 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, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LSW.0009920719 | CO | MD | Clinical 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.