Amy Louise Kenzie, LBSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

L901597 Issued in MI

Practice address

21885 Dunham Rd
Suite 2
Clinton Township, MI 48036-1030

Phone

(586) 446-4101

Fax

(586) 469-7925

NPI assigned

Feb 13, 2007

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

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 and National Provider Directory roles.

• County of Macomb

  • Public Health or Welfare Agency
  • Mount Clemens, MI
  • NPI 1760462253
  NPD (past)
• County of Macomb

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clinton TWP, MI
  • NPI 1942532197
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811039902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 HAMPTON RD",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361328",
            "telephone_number": "313-885-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21885 DUNHAM RD",
            "address_2": "SUITE 2",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361030",
            "telephone_number": "586-446-4101",
            "fax_number": "586-469-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENZIE",
        "first_name": "AMY",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "LBSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "L901597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Marie Kennedy, OTR
• Robert William Kennedy, MSW
• Thaise Kennedy
• Madison Maxine Kenrick, DO
• Nadia Fatima Kent, NP
• Alan Joseph Ker, DDS
• Tammy Jean Kerchkof, MA, LBSW
• Robert A Kercorian, LMSW
• Nicole Keskitalo, DPT
• Kevin P Giroux PLLC

• Social Worker in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.