Tainesha Nicole McKinney, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC06015400 Issued in NJ

Practice address

554 Bloomfield Ave FL 4
Bloomfield, NJ 07003-3307

Phone

(973) 771-3300

Fax

(973) 679-2784

NPI assigned

Apr 5, 2023

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1629773890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 DENNIS PL",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079011526",
            "telephone_number": "347-385-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 BLOOMFIELD AVE FL 4",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033307",
            "telephone_number": "973-771-3300",
            "fax_number": "973-679-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "TAINESHA",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06015400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tostao Pembele Mbemba
• Dianelle McAllister
• Nicole Mae McGrath, DDS
• James McGuinness, M.D.
• Kristin McHugh, M.S., CCC/SLP
• Kathryn McLaughlin, IBCLC
• Carli Rae McMorrow, ATC
• Deanna McPherson, MPH, MSW, LCSW
• Med-Stat Healthcare Inc
• Medexpress Urgent Care - Northern New Jersey, PC (MedExpress Urgent Care - Bloomfield, Bloomfield Ave)

• Clinical Social Worker in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.