Niamh M Kennaugh

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW13780 Issued in FL

Practice address

10681 Airport Pulling Rd N Ste 24
Naples, FL 34109-7332

Phone

(239) 207-1710

NPI assigned

Feb 8, 2022

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": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1427702570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17216 JOHNSTON DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339672513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10681 AIRPORT PULLING RD N STE 24",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341097332",
            "telephone_number": "239-207-1710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9200 Bonita Beach Rd SE Ste 213",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341354279",
            "country_code": "US",
            "telephone_number": "239-221-6370 x3",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNAUGH",
        "first_name": "NIAMH",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW13780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Kelly, PA-C
• Jonathan Kelly, PHARMD
• Karen S Kelly, CRNA
• Stephanie Sue Kemp, LMSW
• Matthew Kempfer, PT, DPT
• Kenneth W Fields Dermatology PA
• Louise Kenny, LCSW
• Claude J Kenol, M.D.
• Kriston J Kent, M.D.
• Kenzi Medspa and Wellness Center

• Clinical Social Worker in Naples, FL
• Providers in Naples, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.