Individual provider Active NPI

Jessica Ann Kenney

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1003332396
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105858 Issued in TX
Practice address
9730 Westover Hills Blvd Ste 108
San Antonio, TX 78251-4842
Phone
(210) 366-3700
Fax
(210) 265-1442
NPI assigned
Aug 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 105858 TX
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X 105858 TX Primary

Addresses

Primary practice location

9730 Westover Hills Blvd Ste 108
San Antonio, TX 78251-4842

Mailing address

5700 Schertz Pkwy Ste 150
Schertz, TX 78154-1497
Phone (210) 366-3700

Other practice location 1

9500 Tioga Dr
San Antonio, TX 78230-3118
Phone (210) 616-0828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240220000574 TX Practitioner - Clinical Social Worker 3476997388 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nueva Vida Behavioral Health Associates,Inc CurrentSince Jan 31, 2024 Accepting new patients
Alamo Area Family & Geriatric Medicine Associates, PA PastSince May 27, 2010 Accepting new patients
Anne Esquivel, PH.D., P.a. PastSince Aug 25, 2024 Accepting new patients

Locations

9500 Tioga Dr
Ste A
San Antonio, TX 78230
Phone (210) 616-0828

Organizations & group practices 4

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": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1003332396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 SCHERTZ PKWY STE 150",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541497",
            "telephone_number": "210-366-3700",
            "fax_number": "210-265-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 WESTOVER HILLS BLVD STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514842",
            "telephone_number": "210-366-3700",
            "fax_number": "210-265-1442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Tioga Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782303118",
            "country_code": "US",
            "telephone_number": "210-616-0828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "105858",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "105858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.