Individual provider Active NPI

Kenneth C Rando, LCSW

  • Clinical Social Worker
  • Meriden, CT
National Provider Identifier
1861930786
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10913 Issued in CT
Practice address
883 Paddock Ave
Meriden, CT 06450-7044
Phone
(203) 630-6356
Fax
(203) 634-7089
NPI assigned
Feb 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 003414 CT
Clinical Social Worker 1041C0700X 10913 CT Primary

Addresses

Primary practice location

883 Paddock Ave
Meriden, CT 06450-7044

Mailing address

883 Paddock Ave
Meriden, CT 06450-7044
Phone (203) 630-6356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20201002000949 CT Practitioner - Clinical Social Worker 0143649657 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Connecticut School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Health and Wellness LLCGroup PAC ID 9032562889, 13 clinicians

Practice addresses (Care Compare)

64 Thompson St
Suite A106
East Haven, CT 06513-5700
Phone (203) 804-9448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003414CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Health and Wellness LLC CurrentSince Mar 1, 2024 Accepting new patients
State of Connecticut CurrentSince Mar 13, 2024 Accepting new patients
State of Connecticut CurrentSince Mar 13, 2024 Accepting new patients

Locations

64 Thompson St
Ste A106
East Haven, CT 06513
Phone (203) 691-8163

165 Capitol Ave
Ste 2000
Hartford, CT 06106

34 Park St
North Haven, CT 06519
Phone (203) 974-7417

Interoperability endpoints

  • Direct secure messaging: kennethc.rando@xdr.hhchealthdirect.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1486771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1861930786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 PADDOCK AVE",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064507044",
            "telephone_number": "203-630-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "883 PADDOCK AVE",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064507044",
            "telephone_number": "203-630-6356",
            "fax_number": "203-634-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDO",
        "first_name": "KENNETH",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-11",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003414",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

Verify at the official NPI Registry.