Active NPI
Joan Kennedy Klejna
- Clinical Social Worker
- Brockton, MA
National Provider Identifier
1538730346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 106376-SW-LICSW
- Practice address
- 235 N Pearl St
Brockton, MA 02301-1794 - Phone
- (508) 427-2534
- NPI assigned
- Jul 2, 2021
- Last updated
- Jul 2, 2021
- 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 | 106376-SW-LICSW | MA | Primary |
Addresses
Primary practice location
235 N Pearl St
Brockton, MA 02301-1794
Mailing address
253 Main St
Norfolk, MA 02056-1345
Phone (508) 528-9107
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Joan.Kennedy-Klejna@steward.org | Direct | Good Samaritan Medical Center, LLC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 106376-SW-LICSW | MA | MD | Clinical Social Worker |
Interoperability endpoints
- joan.kennedy-klejna@steward.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625184000000",
"number": "1538730346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "253 MAIN ST",
"city": "NORFOLK",
"state": "MA",
"postal_code": "020561345",
"telephone_number": "508-528-9107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 N PEARL ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011794",
"telephone_number": "508-427-2534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEJNA",
"first_name": "JOAN",
"middle_name": "KENNEDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-02",
"last_updated": "2021-07-02",
"certification_date": "2021-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "106376-SW-LICSW",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Joan.Kennedy-Klejna@steward.org",
"affiliation": "Y",
"endpointDescription": "work email",
"affiliationName": "Good Samaritan Medical Center, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "200 Exempla Cir",
"city": "Lafayette",
"state": "CO",
"country_code": "US",
"postal_code": "800263370",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.