Active NPI
Brendan Todd Kilpatrick, LMSW
- Social Worker
- Poughkeepsie, NY
National Provider Identifier
1972002467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 102754-1
- Practice address
- 41 Page Park Dr
Poughkeepsie, NY 12603-7500 - Phone
- (845) 468-2950
- NPI assigned
- Feb 9, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 102754-1 | NY | Primary |
Addresses
Primary practice location
41 Page Park Dr
Poughkeepsie, NY 12603-7500
Mailing address
573 Carpenter Hill Rd
Pine Plains, NY 12567-4838
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
| License | State | Type | Specialty |
|---|---|---|---|
| 102754-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518134400000",
"number": "1972002467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "573 CARPENTER HILL RD",
"city": "PINE PLAINS",
"state": "NY",
"postal_code": "125674838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 PAGE PARK DR",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126037500",
"telephone_number": "845-468-2950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILPATRICK",
"first_name": "BRENDAN",
"middle_name": "TODD",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-09",
"last_updated": "2018-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "102754-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.