MR. KENTON J KAUFFMAN (LCSW) – Social Worker, NPI 1598750044

MR. KENTON J KAUFFMAN (LCSW) is a healthcare provider. based in Sarasota, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. MH2837 (FL). The NPI Number for MR. KENTON J KAUFFMAN (LCSW) is 1598750044

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
MR. KENTON J KAUFFMAN (LCSW)
NPI
1598750044
Phone
(850) 205-0189
Address
2621 Cattlemen Rd Ste 204
Enumeration Date
12 September 2005
Last Update Date
23 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9413630878
Graduation Year
1987 (39 years ago)
PAC ID
4981667029
Group Practice PAC ID
5092120030
Professional Enrollment ID
I20041109000851
Address ID
FL342369116SA1090XTRLX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

3,374 CLINICAL SOCIAL WORKER in FL

Provider Addresses for MR. KENTON J KAUFFMAN (LCSW)

  • 2621 Cattlemen Rd Ste 204

    Sarasota, FL 342326212

    Phone: (850) 205-0189

    Type: Location

  • PO BOX 15258

    SARASOTA, FL 342771258

    Phone: (941) 780-4192

    Fax: (941) 925-8574

    Type: Mailing

  • Southgate Circle, Southgate, Sarasota County, Florida, 34239, United States

    SARASOTA, FL 342395514

    Phone: (941) 780-4192

    Fax: (941) 925-8574

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-11-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041109000851IClinical Social WorkerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34232)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092120030View full group profile
NameSpecialtyState
Clinical PsychologistMD
Clinical PsychologistRI
Clinical PsychologistIL
Clinical PsychologistFL
P S Y C H I A T R YFL
Clinical Social WorkerFL
P S Y C H I A T R YFL
Clinical PsychologistFL
Nurse PractitionerFL
Clinical Social WorkerMD

Reviews

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Frequently asked questions

What is the registry number for MR. KENTON J KAUFFMAN (LCSW)?
The registry entry for MR. KENTON J KAUFFMAN (LCSW) shows NPI 1598750044.
Should I treat MR. KENTON J KAUFFMAN (LCSW) as an active provider?
Patients and plans typically see MR. KENTON J KAUFFMAN (LCSW) as active in the national extract.
Which specialty label fits MR. KENTON J KAUFFMAN (LCSW)?
NPPES ties MR. KENTON J KAUFFMAN (LCSW) to Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MR. KENTON J KAUFFMAN (LCSW)?
The directory associates MR. KENTON J KAUFFMAN (LCSW) with Sarasota, Florida. Check all listed addresses for suites or satellite offices.
Why is information missing for MR. KENTON J KAUFFMAN (LCSW)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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