Alyson Cotter Kenneson, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17137 Issued in SC

Practice address

41 Park Creek Dr
Greenville, SC 29605-4270

Phone

(864) 299-1600

NPI assigned

Oct 18, 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

Other names 1

• Alyson Lyndon Cotter Former name

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.

• Columbia Vamc

  • Department of Veterans Affairs (VA) Pharmacy
  • Greenville, SC
  • NPI 1265490155
  NPD

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1497576854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 SHANNON DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296151814",
            "telephone_number": "407-304-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 PARK CREEK DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054270",
            "telephone_number": "864-299-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNESON",
        "first_name": "ALYSON",
        "middle_name": "COTTER",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "17137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSON",
            "last_name": "COTTER",
            "middle_name": "LYNDON",
            "credential": "M.A. ED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Alexander Kennedy Jr., D.M.D.
• Kelly Zornig Kennedy, MSN, FNP-BC
• Marilyn Kennedy, MA-COUNSELING
• Nicholas Lee Kennedy, D.O.
• Byron T Kennerly, MD
• Wade Alan Kenney, PA-C
• Kennington Counseling LLC
• Jordan Blade Kennington
• Jason Cory Kent, LPC
• Jillian Rose Kent, PA-C

• All providers in Greenville, SC
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.