Individual provider Active NPI

Nanci Kennedy, LCSW

  • Clinical Social Worker
  • Briarcliff Manor, NY
National Provider Identifier
1811048044
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
072267-1 Issued in NY
Practice address
1133 Pleasantville Rd Ste 2E
Briarcliff Manor, NY 10510-1635
Phone
(914) 962-9898
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05190000 NJ
Clinical Social Worker 1041C0700X 072267-1 NY Primary

Addresses

Primary practice location

1133 Pleasantville Rd Ste 2E
Briarcliff Manor, NY 10510-1635

Mailing address

210 Kemeys Cove Ave
Briarcliff Manor, NY 10510-2048
Phone (201) 446-6594

Other practice location 1

135 Locust Hill Avenue
Martin Luther King Elementary School c/o WJCS
Yonkers, NY 10701
Phone (914) 376-0723

Other names 1

  • Ms. Nanci Kimmel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05190000NJMDClinical Social Worker
072267-1NYMDClinical Social Worker
072267NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1811048044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 KEMEYS COVE AVE",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105102048",
            "telephone_number": "201-446-6594",
            "fax_number": "914-457-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 PLEASANTVILLE RD STE 2E",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101635",
            "telephone_number": "914-962-9898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Locust Hill Avenue",
            "address_2": "Martin Luther King Elementary School c/o WJCS",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "10701",
            "country_code": "US",
            "telephone_number": "914-376-0723",
            "fax_number": "914-457-2386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "NANCI",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05190000",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072267-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCI",
            "last_name": "KIMMEL",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Briarcliff Manor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.