Heather Hart Kennedy, LCSW, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

HEATHER HART KENNEDY, LCSW, LLC

Practice address

1110 N Old World 3Rd St Ste 401
Milwaukee, WI 53203-1117

Phone

(414) 224-0800

Fax

(414) 224-0883

NPI assigned

May 25, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Heather Jean Hart Kennedy, MSW, LCSW

Title

Owner

Phone

(414) 614-6299

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Jean Hart Kennedy, MSW LCSW

  • Clinical Social Worker
  • Milwaukee, WI
  • NPI 1942379888
  Medicare reassignment NPD

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

{
    "created_epoch": "1590364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590364800000",
    "number": "1053934034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5669 N BETHMAUR LN",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532094202",
            "telephone_number": "414-614-6299",
            "fax_number": "414-431-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N OLD WORLD 3RD ST STE 401",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532031117",
            "telephone_number": "414-224-0800",
            "fax_number": "414-224-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER HART KENNEDY, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-25",
        "last_updated": "2020-05-25",
        "certification_date": "2020-05-25",
        "status": "A",
        "authorized_official_last_name": "HART KENNEDY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-614-6299",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "heatherkennedy@riverwalkpsychotherapy.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "address_1": "1110 N Old World 3rd St Ste 401",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532031117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.