Kenneth Kennaugh, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW86537 Issued in CA

Practice address

7257 Beverly Blvd
#108
Los Angeles, CA 90036

Phone

(213) 309-8641

NPI assigned

Jun 21, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1396306353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7257 BEVERLY BLVD STE 108",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900362567",
            "telephone_number": "213-309-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7257 BEVERLY BLVD",
            "address_2": "#108",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90036",
            "telephone_number": "213-309-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNAUGH",
        "first_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW86537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "12345",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "none",
            "affiliation": "N",
            "endpointDescription": "none",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "none",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "7257 Beverly Blvd Ste 108",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900362567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cheyenne Kendricks
• Jacqueline Sheila Keng, PA-C
• Karen Ashley Keniston
• Kenith K Paresa, MD a Professional Corp
• Nadine Nguena Kennang, LVN, R.N.
• Gaila Maureen Kenneally, DO
• Lauren Kenneally
• Terri Kennedy-Johnson
• Barbara Lynn Kennedy, ND, FNP, RN
• Benjamin Kennedy

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.