Amanda Marie Bradford-Kenney, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

254329 Issued in KY

Practice address

120 W Stephen Foster Ave Ste 113
Bardstown, KY 40004-1457

Phone

(315) 546-3312

NPI assigned

Jul 20, 2015

Last updated

Aug 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1730564766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W STEPHEN FOSTER AVE STE 113",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041457",
            "telephone_number": "315-546-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W STEPHEN FOSTER AVE STE 113",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041457",
            "telephone_number": "315-546-3312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "74 Bunner St",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "NY",
            "postal_code": "131263357",
            "country_code": "US",
            "telephone_number": "315-326-4191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADFORD-KENNEY",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "095387",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "254329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Michael Bovee, DC
• Kaela Bowling, COTA/L
• Rebecca Bowman
• Ryan Elizabeth Boyd, CF-SLP
• Paulette Braden-Korody
• Tyler Bradley, FNMP
• Leslie Marie Brauner, APRN
• Thomas G. Brelage, O.D.
• Dana M. Brockman, APRN
• Tammy Reid Brooks, P.T.

• Clinical Social Worker in Bardstown, KY
• Providers in Bardstown, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.