Cynthia Ann Kenney, LICSW, BCBA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

219887 Issued in MA

Practice address

172 Route 101 Ste 26
Bedford, NH 03110-5416

Phone

(603) 435-2040

NPI assigned

Jun 11, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1043572571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 ROUTE 101 STE 26",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031105416",
            "telephone_number": "603-435-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 ROUTE 101 STE 26",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031105416",
            "telephone_number": "603-435-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "credential": "LICSW, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-15-20973",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MA",
            "license": "DOE 479924",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "219887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Arthur Kelley, M.D.
• Michael Kelliher
• Aine Kelly, PT, DPT
• Ryan Allan Kemp, COTA/L
• Christopher Kennedy, MPT
• Heidi Kerman, R.D., L.D.
• Key Autism Services NH LLC
• Kathryn Rae Key, PT
• Leslie Ann Kiefer
• Kathleen Marie Kimbrough, MS OTR/L

• Clinical Social Worker in Bedford, NH
• Providers in Bedford, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.