Individual provider Active NPI

Corinn Anne Kitchen, LMSW

  • Social Worker
  • Shawnee, KS
National Provider Identifier
1982941340
Registry record updated Jan 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
8580 Issued in KS
Practice address
6440 Nieman Rd
Shawnee, KS 66203-3326
Phone
(913) 826-4000
Fax
(913) 826-1589
NPI assigned
Jan 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 8580 KS Primary

Addresses

Primary practice location

6440 Nieman Rd
Shawnee, KS 66203-3326

Mailing address

6000 Lamar Ave Ste 130
Mission, KS 66202-3234
Phone (913) 831-2550

Other names 1

  • Corinn Anne Alsin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20260320002722 KS Practitioner - Clinical Social Worker 9638653298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6000 Lamar Ave
Suite 130
Mission, KS 66202-3298

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8580KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson County Mental Health Center Past Accepting new patients
Johnson County Mental Health Center 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1357344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357344000000",
    "number": "1982941340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 LAMAR AVE STE 130",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662023234",
            "telephone_number": "913-831-2550",
            "fax_number": "913-826-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 NIEMAN RD",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662033326",
            "telephone_number": "913-826-4000",
            "fax_number": "913-826-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHEN",
        "first_name": "CORINN",
        "middle_name": "ANNE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-05",
        "last_updated": "2013-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "8580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORINN",
            "last_name": "ALSIN",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shawnee, KS

Sources for this page

Verify at the official NPI Registry.