Active NPI
McKinsey Kemp, LCSW
- Clinical Social Worker
- Jacksonville, FL
National Provider Identifier
1457171852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW19363
- Practice address
- 4266 Sunbeam Rd
Jacksonville, FL 32257-2425 - Phone
- (904) 892-0399
- NPI assigned
- Oct 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW19363 | FL | Primary |
Addresses
Primary practice location
4266 Sunbeam Rd
Jacksonville, FL 32257-2425
Mailing address
1560 Slash Pine CT
Orange Park, FL 32073-4595
Phone (689) 333-0856
Other practice location 1
901 N Orange Ave
Green Cove Springs, FL 32043-2527
Phone (904) 213-5905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW19363 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
Organizations & group practices 1
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": "1728604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1457171852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 SLASH PINE CT",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734595",
"telephone_number": "689-333-0856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4266 SUNBEAM RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322572425",
"telephone_number": "904-892-0399"
}
],
"practiceLocations": [
{
"address_1": "901 N Orange Ave",
"address_purpose": "LOCATION",
"city": "Green Cove Springs",
"state": "FL",
"postal_code": "320432527",
"country_code": "US",
"telephone_number": "904-213-5905",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEMP",
"first_name": "MCKINSEY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-11",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW19363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.