Organization Active NPI

Joyce M. McKenna LMSW, Acsw, PLLC

  • Clinical Social Worker
  • East Lansing, MI
National Provider Identifier
1669641148
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801064405 Issued in MI
Legal business name
JOYCE M. MCKENNA LMSW, ACSW, PLLC
Practice address
5000 Northwind Dr
Suite 222
East Lansing, MI 48823-5044
Phone
(517) 324-5426
Fax
(517) 324-5426
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Authorized official

Name
Mrs. Joyce M. McKenna, LMSW,ACSWNPI 1063565091
Title
Clinical Social Worker
Phone
(517) 324-5426

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801064405 MI Primary

Addresses

Primary practice location

5000 Northwind Dr
Suite 222
East Lansing, MI 48823-5044

Mailing address

5000 Northwind Dr
Suite 222
East Lansing, MI 48823-5044
Phone (517) 324-5426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080430000409 MI Part B Supplier - Clinic/Group Practice 4789763863 Receives reassigned benefits from 1 practitioner
Practice locations: East Lansing, MI

National Provider Directory

National Provider Directory

Locations

790 W Lake Lansing Rd
Ste 500A
East Lansing, MI 48823
Phone (517) 324-5423

5030 Northwind Dr
Ste 203
East Lansing, MI 48823
Phone (517) 324-5426

5000 Northwind Dr
Ste 222
East Lansing, MI 48823
Phone (517) 324-5426

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1669641148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 NORTHWIND DR",
            "address_2": "SUITE 222",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235044",
            "telephone_number": "517-324-5426",
            "fax_number": "517-324-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 NORTHWIND DR",
            "address_2": "SUITE 222",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235044",
            "telephone_number": "517-324-5426",
            "fax_number": "517-324-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOYCE M. MCKENNA LMSW, ACSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "MCKENNA",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "517-324-5426",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW,ACSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801064405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.