Colleen McKenna, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05590600 Issued in NJ

Practice address

3455 Route 66
Neptune, NJ 07753-2758

Phone

(732) 292-2929

Fax

(732) 782-0345

NPI assigned

Jul 7, 2011

Last updated

Mar 17, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pipitone Counseling Service LLC

  • Clinical Social Worker
  • Toms River, NJ
  • NPI 1194440164
  Medicare reassignment
• Preferred Behavioral Health of New Jersey, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Barnegat, NJ
  • NPI 1720773526
  NPD
• Preferred Behavioral Health of New Jersey, Inc.

  • Community/Behavioral Health Agency
  • Lakewood, NJ
  • NPI 1386701894
  NPD
• Preferred Behavioral Health of NJ

  • Community/Behavioral Health Agency
  • Lakewood, NJ
  • NPI 1922472190
  NPD

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1356638654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 ROUTE 66",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077532758",
            "telephone_number": "732-292-2929",
            "fax_number": "732-782-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 ROUTE 66",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077532758",
            "telephone_number": "732-292-2929",
            "fax_number": "732-782-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "COLLEEN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00218500",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05590600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4542703",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth M McHale, CRNA
• Erin McHugh, MD/MPH
• Tracy Elizabeth McIntyre, APN
• Nancy E McKay, C.R.N.A.
• Joyce M. McKeever, R.N.
• Diana M. McKenney, PA
• Tesia Antoinette McKenzie, MD
• Erin McLean, PH.D.
• Matthew Colin McLean, MD
• Alexandra McMillan, MD

• Clinical Social Worker in Neptune, NJ
• Providers in Neptune, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.