Kendra Kinney, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

991078 Issued in CO

Practice address

195 West Main
Cedaredge, CO 81413

Phone

(970) 856-6970

Fax

(970) 856-7752

NPI assigned

Oct 31, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1972689933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 NW 9TH ST",
            "city": "CEDAREDGE",
            "state": "CO",
            "postal_code": "814133527",
            "telephone_number": "970-856-6970",
            "fax_number": "970-856-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 WEST MAIN",
            "city": "CEDAREDGE",
            "state": "CO",
            "postal_code": "81413",
            "telephone_number": "970-856-6970",
            "fax_number": "970-856-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "KENDRA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "991078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035353",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Hanson, M.A. CCC-SLP
• Christin Dawn Hawbaker, L.AC.
• Timothy Parker Hawbaker, N.P., L.AC.
• Magdalena Evelyn Hunsaker, LMT
• Christian T Johnson, D.D.S.
• Kristie M Lavalley, L.AC.
• Candi R. Lobenstein, NP
• Timothy C Meilner, MD
• Millennium Regenerative Medicine, Inc.
• Millennium Wellness, LLC

• Clinical Social Worker in Cedaredge, CO
• Providers in Cedaredge, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.