Naynette Kennett

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5506 Issued in GA

Practice address

1350 Wooten Lake Rd NW Ste 210
Kennesaw, GA 30144-1348

Phone

(404) 447-9241

NPI assigned

Nov 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Tri-State Behavioral Health, Inc

  • Community/Behavioral Health Agency
  • Kennesaw, GA
  • NPI 1790301091
  NPD Authorized official

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1790854420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2774 COBB PKWY NW STE 109-140",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301523469",
            "telephone_number": "404-447-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 WOOTEN LAKE RD NW STE 210",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441348",
            "telephone_number": "404-447-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNETT",
        "first_name": "NAYNETTE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "5506",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5583",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "26436",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennesaw State University
• Kennesaw State University Health Clinic
• Kennesaw Trauma and Addiction Center
• Kennesaw Wellness (Prime Health MD)
• Kennesaw West Chiro and Rehab
• Matt D Kent, RPH
• Chandler P Keown
• Koosha Kermani, OD
• Jason Kern
• Steven Keus, ATC

• Clinical Social Worker in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.