Caitlin Kenny, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

117769 Issued in MA

Practice address

100 Cummings Ctr Ste 430C
Beverly, MA 01915-6122

Phone

(203) 843-2268

Fax

(978) 616-7029

NPI assigned

Sep 22, 2009

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

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1386978575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 430C",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156122",
            "telephone_number": "203-843-2268",
            "fax_number": "978-616-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 430C",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156122",
            "telephone_number": "203-843-2268",
            "fax_number": "978-616-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNY",
        "first_name": "CAITLIN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-22",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "117769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Gordon Kenison, LMT
• Kathryn Turner Keniston
• Beth Benatti Kennedy, M.S., CAGS
• Rachel McCain Kennedy, DNAP, CRNA
• Jacqueline Taylor Kenney, OD
• Joi Ellen Kenny, FAMILY PARTNER
• Patricia Anne Kenny, RN PCNS
• Alexandra Keresztes
• Kettle Cove Counseling, LLC
• Bushra Khan, MD

• Clinical Social Worker in Beverly, MA
• Providers in Beverly, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.