Individual provider Active NPI

Morgan Kennedy, LCSW

  • Social Worker
  • Mahopac, NY
National Provider Identifier
1164749651
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
080940-1 Issued in NY
Practice address
18 Miller Rd
Mahopac, NY 10541-2220
Phone
(516) 330-9789
NPI assigned
Apr 23, 2010
Last updated
Dec 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 080940-1 NY Primary

Addresses

Primary practice location

18 Miller Rd
Mahopac, NY 10541-2220

Mailing address

18 Miller Rd
Mahopac, NY 10541-2220
Phone (516) 330-9789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20190205001631 NY Practitioner - Clinical Social Worker 3072851708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kristen E Caroprese LCSW PLLCGroup PAC ID 3779821491, 13 clinicians

Practice addresses (Care Compare)

18 Miller Rd
Mahopac, NY 10541-2220
Phone (845) 628-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
080940-1NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kristen E Caroprese LCSW PLLC CurrentSince Jan 7, 2019 Accepting new patients
Westchester Health Associates, P.L.L.C PastSince Jan 7, 2019 Accepting new patients

Locations

18 Miller Rd
Mahopac, NY 10541
Phone (845) 628-2300

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1164749651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MILLER RD",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105412220",
            "telephone_number": "516-330-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MILLER RD",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105412220",
            "telephone_number": "516-330-9789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "MORGAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-23",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "080940-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahopac, NY

Sources for this page

Verify at the official NPI Registry.