Camille Anne McKenney, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1024103-SW-LICSW Issued in MA

Practice address

Tewksbury Hospital
365 East Street
Tewksbury, MA 01876-8636

Phone

(978) 851-7321

NPI assigned

Oct 1, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Clinical Social Worker

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Supportive Behavioral Care of Mass LLCGroup PAC ID 8123530169, 49 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Supportive Behavioral Care of Mass LLC

  • Psychologist
  • Stoneham, MA
  • NPI 1932914223
  Care Compare group

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1013492594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TEWKSBURY HOSPITAL",
            "address_2": "365 EAST STREET",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018768636",
            "telephone_number": "978-851-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TEWKSBURY HOSPITAL",
            "address_2": "365 EAST STREET",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018768636",
            "telephone_number": "978-851-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNEY",
        "first_name": "CAMILLE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1024103-SW-LICSW",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie McCarthy, DPT
• Melissa McCormack, RD, LDN
• Mark A McGee, O.D.
• Bette L McInnis-Ippolito, PHD
• Michelle Charney McIntosh, PMHCNS-BC
• Kristine McLean-Tracy, LCSW
• Lisa McManus
• Taylor McPartlin
• Kathryn L McSurdy, M.S, CCC-SLP
• Medical Supplies LLC

• Clinical Social Worker in Tewksbury, MA
• Providers in Tewksbury, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.