Individual provider Active NPI

Erin Kenny, MSW

  • Clinical Social Worker
  • Smyrna, TN
National Provider Identifier
1194489427
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12365 Issued in TN
Practice address
695 President PL Ste 202
Smyrna, TN 37167-5681
Phone
(615) 269-4990
Fax
(615) 953-9862
NPI assigned
Oct 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12365 TN Primary

Addresses

Primary practice location

695 President PL Ste 202
Smyrna, TN 37167-5681

Mailing address

695 President PL Ste 202
Smyrna, TN 37167-5681
Phone (615) 269-4990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20240125001256 TN Practitioner - Clinical Social Worker 6002269149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sabin Behavioral HealthGroup PAC ID 7517121817, 5 clinicians

Practice addresses (Care Compare)

695 President PL
Suite 202
Smyrna, TN 37167-5681
Phone (615) 269-4990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12365TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sabin Behavioral Health Clinical CurrentSince Dec 23, 2023 Accepting new patients

Locations

695 President Pl
Ste 202
Smyrna, TN 37167
Phone (615) 269-4990

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1194489427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 PRESIDENT PL STE 202",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675681",
            "telephone_number": "615-269-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 PRESIDENT PL STE 202",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675681",
            "telephone_number": "615-269-4990",
            "fax_number": "615-953-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNY",
        "first_name": "ERIN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "12365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.