Bernice G McKenny, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

M5907 Issued in MS

Practice address

2460 Terry Rd
Suite 800
Jackson, MS 39204-5767

Phone

(769) 524-4605

Fax

(769) 524-4610

NPI assigned

Feb 27, 2013

Last updated

Feb 27, 2013By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1366782351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 TERRY RD",
            "address_2": "SUITE 800",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392045767",
            "telephone_number": "769-524-4605",
            "fax_number": "769-524-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 TERRY RD",
            "address_2": "SUITE 800",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392045767",
            "telephone_number": "769-524-4605",
            "fax_number": "769-524-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNY",
        "first_name": "BERNICE",
        "middle_name": "G",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MS",
            "license": "M5907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Darnell McIntyre, CFNP
• Stephanie Kay McIntyre, LMSW
• Kristen Taylor McKay, NP
• Steven McKay, CRNA
• Porter McKee, LCSW--CADCII
• Cindy McKenny
• Jesica Denise McKenzie, NP-C
• Leslie McKenzie, M.D.
• Seema Ahuja McKenzie, M.D.
• Thomas Elliot McKenzie, MD

• Social Worker in Jackson, MS
• Providers in Jackson, MS by specialty
• Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.