Active NPI
Kenzie Blackburn
- Social Worker
- Terre Haute, IN
National Provider Identifier
1972152510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 500 8TH Ave
Terre Haute, IN 47804-4072 - Phone
- (812) 231-8152
- NPI assigned
- Sep 6, 2019
- Sex
- Female
- 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 | Primary |
Addresses
Primary practice location
500 8TH Ave
Terre Haute, IN 47804-4072
Mailing address
620 8TH Ave
Terre Haute, IN 47804-2771
Phone (812) 231-8438
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamilton Center, Inc. | Past | Accepting new patients | |
| Hamilton Center Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Terre Haute, IN
- NPI 1649007774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567728000000",
"number": "1972152510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 8TH AVE",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478042771",
"telephone_number": "812-231-8438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 8TH AVE",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478044072",
"telephone_number": "812-231-8152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKBURN",
"first_name": "KENZIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-06",
"last_updated": "2019-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.