Individual provider Active NPI

Nakeesha Michelle Kenney-Futrell, LCSW

  • Clinical Social Worker
  • Steelton, PA
National Provider Identifier
1477930683
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW021604 Issued in PA
Practice address
179 Watson St
Steelton, PA 17113-2146
Phone
(717) 516-0921
Fax
(717) 516-6186
NPI assigned
Apr 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW132126 PA
Clinical Social Worker 1041C0700X CW021604 PA Primary

Addresses

Primary practice location

179 Watson St
Steelton, PA 17113-2146

Mailing address

2324 Thornton Rd
Harrisburg, PA 17109-1820
Phone (717) 810-8351

Other practice location 1

960 Century Dr
Mechanicsburg, PA 17055-4530
Phone (717) 795-0330

Other names 1

  • Nakeesha Kenney Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW132126PAMDSocial Worker
CW021604PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elevated Mental Health Services LLC CurrentSince Mar 21, 2021 Accepting new patients

Locations

179 Watson St
Steelton, PA 17113
Phone (717) 516-0921

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": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1477930683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 THORNTON RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171091820",
            "telephone_number": "717-810-8351",
            "fax_number": "717-516-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 WATSON ST",
            "city": "STEELTON",
            "state": "PA",
            "postal_code": "171132146",
            "telephone_number": "717-516-0921",
            "fax_number": "717-516-6186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "960 Century Dr",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170554530",
            "country_code": "US",
            "telephone_number": "717-795-0330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEY-FUTRELL",
        "first_name": "NAKEESHA",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW132126",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAKEESHA",
            "last_name": "KENNEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Steelton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.