Organization Active NPI

NCK, LLC

  • Clinical Social Worker
  • Johns Island, SC
National Provider Identifier
1144793829
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NCK, LLC
Doing business as
NCK, LLC
Practice address
1715 Hollydale CT Unit B
Johns Island, SC 29455-8319
Phone
(843) 268-4848
Fax
(843) 305-3776
NPI assigned
Jan 6, 2019
Last updated
Oct 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Authorized official

Name
Ms. Natasha C. Kennedy, LCSW, LISW-CPNPI 1679772289
Title
Founder
Phone
(843) 268-4848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

1715 Hollydale CT Unit B
Johns Island, SC 29455-8319

Mailing address

1162 Turkey Trot Dr
Johns Island, SC 29455-8798
Phone (843) 990-6302

Other names 1

  • NCK, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1715 Hollydale Ct
Unit B
Johns Island, SC 29455
Phone (843) 268-4848

3227 Walter Dr
Ste B
Johns Island, SC 29455
Phone (843) 572-5454

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1546732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1144793829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1162 TURKEY TROT DR",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294558798",
            "telephone_number": "843-990-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 HOLLYDALE CT UNIT B",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294558319",
            "telephone_number": "843-268-4848",
            "fax_number": "843-305-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NCK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-06",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "843-268-4848",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, LISW-CP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NCK, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NCK, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johns Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.