Kenneth Andrew Medve, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW007329 Issued in GA

Practice address

2601 Cross Country Dr Ste 900
Columbus, GA 31906-1801

Phone

(706) 596-7170

NPI assigned

Jun 30, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1922730563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 CROSS COUNTRY DR STE 900",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319061801",
            "telephone_number": "706-596-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 CROSS COUNTRY DR STE 900",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319061801",
            "telephone_number": "706-596-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDVE",
        "first_name": "KENNETH",
        "middle_name": "ANDREW",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.myhealth.va.gov/mhv-portal-web/home",
            "affiliation": "N",
            "endpointDescription": "My HealtheVet (VA provided secure website)",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Secure Website accessible only to Veterans",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure Site",
            "address_1": "2601 Cross Country Dr Ste 900",
            "city": "Columbus",
            "state": "GA",
            "country_code": "US",
            "postal_code": "319061801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Medical Connections LLC
• Sidney Donette Medina
• Madonna Laree Medley
• Judith Louann Medlock, RPH
• Medmark Treatment Centers of Georgia, Inc. (Medmark Treatment Centers Columbus)
• Jessica Joy Medzie
• Thalia Meeks, BCBA
• Hillary B. Mehas, LPC
• Namita Mehta, MD
• Olivia Meininger

• Clinical Social Worker in Columbus, GA
• Providers in Columbus, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.