Kathleen Kenney, LCSW, CADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149014901 Issued in IL

Practice address

1 University Cir
Macomb, IL 61455-1367

Phone

(630) 483-7071

Fax

(630) 483-7191

NPI assigned

May 16, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Barrington Behavioral Health and Wellness PCGroup PAC ID 6608099163, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Barrington Behavioral Health & Wellness PC

  • Counseling Psychologist
  • Lake Zurich, IL
  • NPI 1851675631

  IL

  Medicare reassignment Care Compare group NPD
• Cognitive Care Counseling, PLLC

  • Clinical Social Worker
  • Huntley, IL
  • NPI 1013532191

  Clinical

  NPD (past)
• Denver Health and Hospital Authority

  • Clinic Pharmacy
  • Denver, CO
  • NPI 1285657528
  NPD (past)

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337126400000",
    "number": "1144589706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 OAK RIDGE DR",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601072175",
            "telephone_number": "630-483-7071",
            "fax_number": "630-483-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY CIR",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614551367",
            "telephone_number": "630-483-7071",
            "fax_number": "630-483-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "KATHLEEN",
        "credential": "LCSW, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "27542",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149014901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mona S Johnston, PHD
• Stephany Wilson Joy-Newman, ED.D., LCPC
• JW Medical, Inc.
• Rosalyn Borden Kalantari, APN
• Roberta Keck, MS,SSP
• Marc Kessler, ATC
• Aman Khurana, MD
• Derek Brian King, D.C.
• Sabrina Kleparski
• Tracy Albert Knight, PH.D.

• All providers in Macomb, IL
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.