Kelly O'Brien McKenna, LCSWA, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P020956 Issued in NC

Practice address

1611 E Franklin St
Chapel Hill, NC 27514-2888

Phone

(415) 254-6239

NPI assigned

Jul 9, 2024

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Guilford Counseling, PLLC

  • Clinical Social Worker
  • Greensboro, NC
  • NPI 1114298668
  NPD

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1235976283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 BATTLEGROUND AVE STE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274082107",
            "telephone_number": "336-337-5469",
            "fax_number": "336-660-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 E FRANKLIN ST",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142888",
            "telephone_number": "415-254-6239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Battleground Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274082107",
            "country_code": "US",
            "telephone_number": "336-337-5469",
            "fax_number": "336-660-2563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "KELLY",
        "middle_name": "O'BRIEN",
        "credential": "LCSWA, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P020956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda McKay, F.N.P.
• Laura Elizabeth McKay, M.ED
• Laura Watson McKee, M.S., LMFTA
• Joni L McKeeman, PHD
• Kelly Ann McKenna, OT
• Meaghan McKenna, MD
• Nancy M McKenna
• Susan Ann McKenney, NP
• Alexander Michael McKenzie, MD
• Amal McKenzie, LCMHCA

• Clinical Social Worker in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.