Individual provider Active NPI

Kevin Bawden, LMSW

  • Social Worker
  • Ransom, KS
National Provider Identifier
1780434407
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
13505 Issued in KS
Practice address
206 S Vermont Ave
Ransom, KS 67572-9525
Phone
(785) 731-2231
NPI assigned
Mar 25, 2024
Last updated
Mar 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 13505 KS Primary

Addresses

Primary practice location

206 S Vermont Ave
Ransom, KS 67572-9525

Mailing address

210 S Vermont Ave
Ransom, KS 67572-9525
Phone (785) 731-2231

Other practice location 1

210 S Vermont Ave
Ransom, KS 67572-9525
Phone (785) 731-2231 ext. 243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20240529002066 KS Order and Referring Only - Mental Health Counselor 5991147431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13505KSMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1780434407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S VERMONT AVE",
            "city": "RANSOM",
            "state": "KS",
            "postal_code": "675729525",
            "telephone_number": "785-731-2231",
            "fax_number": "785-731-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S VERMONT AVE",
            "city": "RANSOM",
            "state": "KS",
            "postal_code": "675729525",
            "telephone_number": "785-731-2231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 S Vermont Ave",
            "address_purpose": "LOCATION",
            "city": "Ransom",
            "state": "KS",
            "postal_code": "675729525",
            "country_code": "US",
            "telephone_number": "785-731-2231 x243",
            "fax_number": "785-731-2895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAWDEN",
        "first_name": "KEVIN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "13505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ransom, KS

Sources for this page

Verify at the official NPI Registry.