Erin Kenny Bazadona, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

078394-1 Issued in NY

Practice address

116 John St
Cis Counseling 27TH Floor
New York, NY 10038-3300

Phone

(212) 385-0086

NPI assigned

Mar 19, 2009

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cis Counseling Center

  • Health Maintenance Organization
  • New York, NY
  • NPI 1194030320
  NPD (past)
• Cis Counseling Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1548324650

  Clinical

  NPD (past)

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1699916718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 PARK AVE",
            "address_2": "APT. 3L",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070308100",
            "telephone_number": "201-683-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 JOHN ST",
            "address_2": "CIS COUNSELING 27TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100383300",
            "telephone_number": "212-385-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNY BAZADONA",
        "first_name": "ERIN",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-19",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078394-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryann Eileen Kenney, LCSW
• Nicole Marie Kenney, PSYCHOLOGY, B.S.
• Olga M Kenney
• Samantha Kennis
• Arthur Jay Kennish, M.D.
• Anne Kenny
• Christine M. Kenny, CRNA
• Edward Thomas Kenny, MD
• Ellen-Marie Kenny, ANP
• Gavin Kenny, PSY.D.

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.