Individual provider Active NPI

Stephanie Kenney

  • Clinical Social Worker
  • Huntsville, AL
National Provider Identifier
1447733563
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1111 Wayne Rd NW
Huntsville, AL 35806-3567
Phone
(256) 736-3746
NPI assigned
Sep 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X AL Primary

Addresses

Primary practice location

1111 Wayne Rd NW
Huntsville, AL 35806-3567

Mailing address

171 Mount Tabor Rd
Hartselle, AL 35640-4709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181101000338 AL Practitioner - Clinical Social Worker 2466705827 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Therapy Services, LLC Clinical Current Accepting new patients
Happi Health CurrentSince Nov 1, 2022 Accepting new patients
Happi Health CurrentSince Nov 1, 2022 Accepting new patients

Locations

807 Franklin St SE
Huntsville, AL 35801
Phone (256) 333-3044

813 Franklin St SE
Huntsville, AL 35801
Phone (256) 519-3650

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1447733563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 MOUNT TABOR RD",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356404709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 WAYNE RD NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358063567",
            "telephone_number": "256-736-3746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.