Penny Kain, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149010830 Issued in IL

Practice address

4703 44TH St
Rock Island, IL 61201-7189

Phone

(309) 788-9581

Fax

(309) 788-9608

NPI assigned

Aug 8, 2006

Last updated

Aug 22, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

University of Iowa, RJ & L Carver College of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lifeskills Connection Inc.

  dba Holistic Health

  • Clinical Social Worker
  • Manning, IA
  • NPI 1295201754
  Medicare reassignment NPD
• Healing Hands Chiropractic

  dba Kira Baca

  • Chiropractor
  • Bettendorf, IA
  • NPI 1982276440
  NPD
• Catholic Charities Dop

  • Community/Behavioral Health Agency
  • Rock Island, IL
  • NPI 1073699914
  NPD (past)
• Catholic Charities of the Diocese of Peoria

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bloomington, IL
  • NPI 1285693630
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503360000000",
    "number": "1760492292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 EASTERN AVE",
            "address_2": "BLDG G",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032012",
            "telephone_number": "309-788-9581",
            "fax_number": "309-788-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4703 44TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612017189",
            "telephone_number": "309-788-9581",
            "fax_number": "309-788-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAIN",
        "first_name": "PENNY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2017-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149010830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Jones, MD
• Stephanie Kaye Jones
• Nimpaye Maombi Joselyne, MA
• Brett G Josie, PA-C
• Katie Londa Judge
• Karen Home Care LLC
• Venkateswara R Karuparthy, MD
• Ntunzwenimana Kasimu
• Katie Grant
• Kendra R Kaufman, PA-C

• Clinical Social Worker in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.