Individual provider Active NPI

Kenneth Michael Sabia, LCSW

  • Clinical Social Worker
  • Rolla, MO
National Provider Identifier
1770863847
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2010024609 Issued in MO
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
SW7538FLMDClinical Social Worker
2010024609MOMDClinical Social Worker
021637NYMDMassage 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.

Verify at the official NPI Registry.