Maryluz Powell McKenna, MSW, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3104403 Issued in MA

Practice address

439 S Union St
Lawrence, MA 01843-2837

Phone

(978) 722-2404

Fax

(978) 681-9508

NPI assigned

Jul 16, 2007

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

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1689873002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LOCKWOOD ST",
            "address_2": "APT 3",
            "city": "BRADFORD",
            "state": "MA",
            "postal_code": "018357312",
            "telephone_number": "617-460-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 S UNION ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018432837",
            "telephone_number": "978-722-2404",
            "fax_number": "978-681-9508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "MARYLUZ",
        "middle_name": "POWELL",
        "name_prefix": "Ms.",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "3104403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chevanese Delarene Christine McGaw-Holiday, S.W.
• Timothy McGhee Jr.
• Carole Ann McGuane, MA
• Jeanine McIntyre, LICSW
• McKar, LLC
• Robert Crosier McKersie, M.D.
• Rose Ebude McKibben
• Madaline McKinnon, BA
• Jessica M McLaughlin, DPT
• Thomas Joseph McLaughlin, MD

• Clinical Social Worker in Lawrence, MA
• Providers in Lawrence, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.