Jamie McKinney, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

54264 Issued in TX

Practice address

411 Karen St
Hewitt, TX 76643-2951

Phone

(254) 300-5431

NPI assigned

Mar 5, 2015

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Fortitude Therapeutic Services

  • Clinical Social Worker
  • Austin, TX
  • NPI 1508751033
  NPD Authorized official

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1083007603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 KAREN ST",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766432951",
            "telephone_number": "254-300-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 KAREN ST",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766432951",
            "telephone_number": "254-300-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "JAMIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "54264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marquis Mangrum
• Ava Marese
• Justin Jefferson Martin, COTA
• Kasie McAdam, BCBA
• E Rochelle McGowan, SOCIAL WORKER
• Taylor Brianna McNeely, LCSW
• Melody Mello, RBT
• Michael Paul Moore, L.L.C.
• Holly Nicole Michael, LCSW
• Midway Isd

• Social Worker in Hewitt, TX
• Providers in Hewitt, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.