IndividualActive
Kenneth Kinzie, M.S.W., LCSW
NPI 1104980499 · Clinical Social Worker · Sarasota, FL
Provider details
- NPI number
- 1104980499
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- M.S.W., LCSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- SW1660 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
73 S Palm Ave
Suite 215
Sarasota, FL 34236-5638
Phone: (941) 374-3846
Fax: (941) 751-4885
Street-level locationGet directions
Mailing address
6620 Quonset Rd
Bradenton, FL 34203-9730
Registry dates
- Enumerated
- 2006-12-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.