Megan Kennedy- Kotalik, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

60759 Issued in TX

Practice address

509 N Winnetka Ave
Dallas, TX 75208-5141

Phone

(972) 755-9120

NPI assigned

Jan 7, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family and Child Guidance Centers

  dba Child and Family Guidance Centers

  • Mental Health Counselor
  • Dallas, TX
  • NPI 1811062367

  Social Worker

  NPD (past)
• Flourish Counseling and Consultation, PLLC

  • Professional Counselor
  • Dallas, TX
  • NPI 1942612726
  NPD (past)

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1528456985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 EDGEFIELD DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804032",
            "telephone_number": "214-729-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N WINNETKA AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752085141",
            "telephone_number": "972-755-9120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 N Buckner Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752183566",
            "country_code": "US",
            "telephone_number": "214-729-9194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY- KOTALIK",
        "first_name": "MEGAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-07",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "60759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Dohoney Kennard, PSYD
• Elizabeth Anne Kennard, APRN-CNP, AGACNP-BC
• Elizabeth Ellen Kennard
• Angela Rena Kennedy Alcorn, RDH
• Kennedy Legel, DPM, PLLC (Advanced Foot & Ankle Care Specialists)
• Kambria Kennedy-Dominguez, LPC, LCDC, RYT
• Alexis O Kennedy, PNP
• Angela Jane Kennedy, D.O.
• Anna Kennedy
• Charles William Kennedy V, MD

• Social Worker in Dallas, TX
• Providers in Dallas, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.