Organization Active NPI

Brandy Kenworthy and Associates LTD

  • Clinical Social Worker
  • Schaumburg, IL
National Provider Identifier
1316455686
Registry record updated Jan 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149011992 Issued in IL
Legal business name
BRANDY KENWORTHY AND ASSOCIATES LTD
Practice address
1821 Walden Office SQ Ste 427
Schaumburg, IL 60173-4295
Phone
(773) 458-6904
NPI assigned
Jan 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2018

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

Authorized official

Name
Brandy Kenworthy, MSW, LCSWNPI 1710164389
Title
Owner/Psychotherapist
Phone
(773) 458-6904

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149011992 IL Primary

Addresses

Primary practice location

1821 Walden Office SQ Ste 427
Schaumburg, IL 60173-4295

Mailing address

3201 California Ave
Rolling Meadows, IL 60008-2226
Phone (773) 458-6904

National Provider Directory

National Provider Directory

Locations

1821 Walden Office Sq
Ste 427
Schaumburg, IL 60173
Phone (773) 458-6904

1933 N Meacham Rd
Ste 200
Schaumburg, IL 60173
Phone (847) 497-5730

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516320000000",
    "number": "1316455686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 CALIFORNIA AVE",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600082226",
            "telephone_number": "773-458-6904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 WALDEN OFFICE SQ STE 427",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734295",
            "telephone_number": "773-458-6904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDY KENWORTHY AND ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-01-19",
        "status": "A",
        "authorized_official_last_name": "KENWORTHY",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "773-458-6904",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; 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.