Active NPI
Kathleen Tyson Barrett-Kennedy, LCSW-C
- Clinical Social Worker
- Chester, MD
National Provider Identifier
1205466158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 100 Helfen Bein LN Ste 230a
Chester, MD 21619-2667 - Phone
- (410) 622-3202
- NPI assigned
- Jan 20, 2020
- Last updated
- Feb 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
100 Helfen Bein LN Ste 230a
Chester, MD 21619-2667
Mailing address
100 Helfen Bein LN
Ste 230a
Chester, MD 21619-2667
Phone (410) 334-6961
Other practice location 1
1113 Healthway Dr
Salisbury, MD 21804-4470
Other practice location 2
1113 Healthway Dr
Salisbury, MD 21804-4470
Other practice location 3
1113 Healthway Dr
Salisbury, MD 21804-4470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613347200000",
"number": "1205466158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HELFEN BEIN LN",
"address_2": "STE 230A",
"city": "CHESTER",
"state": "MD",
"postal_code": "216192667",
"telephone_number": "410-334-6961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HELFEN BEIN LN STE 230A",
"city": "CHESTER",
"state": "MD",
"postal_code": "216192667",
"telephone_number": "410-622-3202"
}
],
"practiceLocations": [
{
"address_1": "1113 Healthway Dr",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "MD",
"postal_code": "218044470",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1113 Healthway Dr",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "MD",
"postal_code": "218044470",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1113 Healthway Dr",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "MD",
"postal_code": "218044470",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARRETT-KENNEDY",
"first_name": "KATHLEEN",
"middle_name": "TYSON",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-20",
"last_updated": "2021-02-15",
"certification_date": "2021-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chester, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.