Active NPI
Kenneth Michael Sabia, LCSW
- Clinical Social Worker
- Rolla, MO
National Provider Identifier
1770863847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2010024609
- Practice address
- 1028 S Bishop Ave
Suite 154
Rolla, MO 65401-4416 - Phone
- (573) 465-3338
- NPI assigned
- Aug 22, 2011
- Last updated
- Sep 22, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2010024609 | MO | Primary |
| Clinical Social Worker | 1041C0700X | SW7538 | FL | |
| Clinical Social Worker | 1041C0700X | 021637 | NY |
Addresses
Primary practice location
1028 S Bishop Ave
Suite 154
Rolla, MO 65401-4416
Mailing address
1028 S Bishop Ave
Suite 154
Rolla, MO 65401-4416
Phone (573) 465-3338
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 |
|---|---|---|---|
| SW7538 | FL | MD | Clinical Social Worker |
| 2010024609 | MO | MD | Clinical Social Worker |
| 021637 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1770863847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1028 S BISHOP AVE",
"address_2": "SUITE 154",
"city": "ROLLA",
"state": "MO",
"postal_code": "654014416",
"telephone_number": "573-465-3338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1028 S BISHOP AVE",
"address_2": "SUITE 154",
"city": "ROLLA",
"state": "MO",
"postal_code": "654014416",
"telephone_number": "573-465-3338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABIA",
"first_name": "KENNETH",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-22",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2010024609",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW7538",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "021637",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rolla, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.