Active NPI
Dennis James Kluding, L.C.S.W.
- Social Worker
- Modesto, CA
National Provider Identifier
1801914460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCS24562
- Practice address
- 500 N 9TH Street
Modesto, CA 95354-3428 - Phone
- (209) 525-6225
- Fax
- (209) 525-6291
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | ASW 12139 | CA | |
| Social Worker | 104100000X | LCS24562 | CA | Primary |
Addresses
Primary practice location
500 N 9TH Street
Modesto, CA 95354-3428
Mailing address
800 Scenic Drive
Modesto, CA 95350-3211
Phone (209) 525-6225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101YP2500X | Other | CA | MH CLINICIAN 1 |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW 12139 | CA | MD | Professional Counselor |
| LCS24562 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Stanislaus | Past | Accepting new patients | |
| Stanislaus County BHRS | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Modesto, CA
- NPI 1902765993
-
- Community/Behavioral Health Agency
- Modesto, CA
- NPI 1457480642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257811200000",
"number": "1801914460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 SCENIC DRIVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953503211",
"telephone_number": "209-525-6225",
"fax_number": "209-525-6291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N 9TH STREET",
"city": "MODESTO",
"state": "CA",
"postal_code": "953543428",
"telephone_number": "209-525-6225",
"fax_number": "209-525-6291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLUDING",
"first_name": "DENNIS",
"middle_name": "JAMES",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2009-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "ASW 12139",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "LCS24562",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MH CLINICIAN 1",
"identifier": "101YP2500X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.