Patricia Lee Kenney, LCSW MAC SAP
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Vineland, NJ
NPI 1285701201 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1285701201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 12286 (NJ)
- Practice address
- 717 E Elmer St
Ste 6
Vineland, NJ 08360-4758 - Phone
- (856) 691-2424
- Fax
- (856) 691-2433
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050420000822 | NJ | Practitioner - Clinical Social Worker | 7012955016 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12286 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
| 22021 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
| 44SC04764600 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group of New Jersey PC | Clinical | Current |
Accepting new patients |
| Center for Family Services, Inc. | Current | Accepting new patients | |
| Center for Family Services, Inc. | Current |
Accepting new patients | |
| Center for Family Services, Inc. | Current |
Accepting new patients | |
| Family Service Association | Past | Accepting new patients | |
| Richard Cohen Associates | Past | Accepting new patients | |
| Patricia Kenney Counseling Services, LLC | Clinical | Past | Accepting new patients |
Locations
584 Benson St
Camden, NJ 08103
Phone (877) 922-2377
6550 Delilah Rd
Ste 301
Egg Hbr Twp, NJ 08234
Phone (609) 573-1251
3073 English Creek Ave
Ste 3
Egg Hbr Twp, NJ 08234
Phone (609) 569-0239
3073 English Creek Ave
Egg Hbr Twp, NJ 08234
Phone (609) 569-0239
312 E White Horse Pike
Galloway, NJ 08205
Phone (609) 652-1600
221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902
1 Alpha Ave
Voorhees, NJ 08043
Phone (856) 651-7553
Interoperability endpoints
- patricia.kenney.p1@direct.cfg.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 22021 | NJ | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 12286 | NJ | Yes |
| Clinical Social Worker | 1041C0700X | 44SC04764600 | NJ |
Addresses
Primary practice location
717 E Elmer St
Ste 6
Vineland, NJ 08360-4758
Mailing address
717 E Elmer St
Ste 6
Vineland, NJ 08360-4758
Phone (856) 691-2424
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 232130 | Other | NJ | AMERI HEALTH PPO PIN 4000 |
Other providers in Vineland, NJ
- Brian L Kelley
- Brynn Kelley
- Jessica Kelley
- Taylor Kemery
- Beth Kennedy
- Willie Mae Kent
- Katie Marie Ketschek
- Key Advocates of Tomorrow LLC
- Sara Adel Khalil
- Muhammad Khubaib Gul Khan
All providers in Vineland, NJ · Addiction (Substance Use Disorder) Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.