Michelle A Kenefick

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007155 Issued in CT

Practice address

158 Westbrook Rd
Suite 7
Essex, CT 06426-1553

Phone

(860) 575-1671

NPI assigned

Jun 29, 2010

Last updated

Mar 27, 2012By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sound Counseling Center LLC

  • Community/Behavioral Health Agency
  • Essex, CT
  • NPI 1578833760
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1740591320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 WESTBROOK RD",
            "address_2": "SUITE 7",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261553",
            "telephone_number": "860-575-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 WESTBROOK RD",
            "address_2": "SUITE 7",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261553",
            "telephone_number": "860-575-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENEFICK",
        "first_name": "MICHELLE",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008021284",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krista Karch, PH.D.
• Karen Walsh, LPC, LLC
• Craig William Katko, PT, ATC
• Linda S Kauffman, LCSW
• David Kenefick
• Brandi Kennedy, MSW
• Jonathan Jackson Key, D.P.M.,F.A.C.F.A.S.
• Karan D Killoran, LCSW
• Gyujin Kim
• Ju Won Kim

• Clinical Social Worker in Essex, CT
• Providers in Essex, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.