Amanda Kate McKenna, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904017072 Issued in VA

Practice address

8230 Old Courthouse Rd Ste 500
Vienna, VA 22182-3840

Phone

(703) 281-2657

NPI assigned

Jul 12, 2024

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

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 and National Provider Directory roles.

• McKenna Therapy & Wellness PLLC

  • Clinical Social Worker
  • Washington, DC
  • NPI 1205784550
  NPD Authorized official
• Womens Center

  • Clinical Social Worker
  • Vienna, VA
  • NPI 1164527859
  NPD

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1407693732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 MARYLAND AVE SW APT 1107",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200242858",
            "telephone_number": "202-329-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 OLD COURTHOUSE RD STE 500",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823840",
            "telephone_number": "703-281-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "AMANDA",
        "middle_name": "KATE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904017072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Joan McHone, LCSW
• Rose Marie McIntrye, LCSW
• Katie McKay
• Lisa McKean
• Amy Elizabeth McKee, PA-C
• Mary McLaughlin, LCSW
• McLean Cardiology, P.C.
• McLean Center for Complementary and Alternative Medicine, PLC
• McLeod Dental Strategies LLC
• Nancy M McMahon, P.T.

• Clinical Social Worker in Vienna, VA
• Providers in Vienna, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.