Scott Michael Kennelly, L.C.S.W

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

PPSC Issued in CA

Practice address

500 Cohasset Rd Ste 26
Chico, CA 95926-2260

Phone

(530) 879-2945

NPI assigned

Sep 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1548366396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 COHASSET RD STE 26",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262260",
            "telephone_number": "530-879-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 COHASSET RD STE 26",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262260",
            "telephone_number": "530-879-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNELLY",
        "first_name": "SCOTT",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "18996",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "CA",
            "license": "PPSC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercedes Elaine Kelly, DOULA, CBS
• Matthew David Kelm
• Talena Eryn Keltner
• Benjamin Kemp, D.O.
• Nicole Shelby Kennedy
• Kennewick Radiology Group, PC
• Laura Marie Cross Kenney, LCSW
• Michael Virnon Kenney, MFT
• Genevieve Preston Kent, M.A., SLP-CCC
• Theresa Kereazis-Page

• School Social Worker in Chico, CA
• Providers in Chico, CA by specialty
• School Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.