Sara Katherine Kenney, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS20060 Issued in CA

Practice address

588 N Larchmont Blvd
Second Floor
Los Angeles, CA 90004-1306

Phone

(323) 692-9003

Fax

(323) 465-2025

NPI assigned

Aug 5, 2006

Last updated

Jun 6, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2024 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Sara Kenney LCSW Inc

  • Clinical Social Worker
  • Los Angeles, CA
  • NPI 1518334945
  Authorized official Same address or phone

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1215946462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 N LARCHMONT BLVD",
            "address_2": "SECOND FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900041306",
            "telephone_number": "323-692-9003",
            "fax_number": "323-465-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 N LARCHMONT BLVD",
            "address_2": "SECOND FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900041306",
            "telephone_number": "323-692-9003",
            "fax_number": "323-465-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "SARA",
        "middle_name": "KATHERINE",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS20060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Kenney
• E. Barrie Kenney, D.D.S.,M.S.
• Jacqueline Elyce Kenney, PA-C
• Kathleen Anne Kenney
• Peter Kenney
• Miracle Kennon
• Marlon Kenoly
• Kenside Medical Services
• Kent Pharmacy Inc
• Courtney Kent, LCSW

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.