Active NPI
Patricia Kenney Counseling Services, LLC
- Clinical Social Worker
- Vineland, NJ
National Provider Identifier
1821357997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC04764600
- Legal business name
- PATRICIA KENNEY COUNSELING SERVICES, LLC
- Practice address
- 717 E Elmer St
Suite 6
Vineland, NJ 08360-4758 - Phone
- (856) 691-2424
- Fax
- (856) 691-2433
- NPI assigned
- May 10, 2012
- Last updated
- May 10, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Patricia Lee Kenney, LCSW, MAC
- Title
- Clinical Social Worker
- Phone
- (856) 691-2424
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC04764600 | NJ | Primary |
Addresses
Primary practice location
717 E Elmer St
Suite 6
Vineland, NJ 08360-4758
Mailing address
717 E Elmer St
Suite 6
Vineland, NJ 08360-4758
Phone (856) 691-2424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 272399000 | Other | NJ | MAGELLAN BEHAVIORAL HEALTH PIN |
National Provider Directory
National Provider DirectoryLocations
717 E Elmer St
Ste 6
Vineland, NJ 08360
Phone (856) 691-2424
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Addiction (Substance Use Disorder) Counselor
- Vineland, NJ
- NPI 1285701201
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336608000000",
"number": "1821357997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 E ELMER ST",
"address_2": "SUITE 6",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083604758",
"telephone_number": "856-691-2424",
"fax_number": "856-691-2433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 E ELMER ST",
"address_2": "SUITE 6",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083604758",
"telephone_number": "856-691-2424",
"fax_number": "856-691-2433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRICIA KENNEY COUNSELING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-10",
"last_updated": "2012-05-10",
"status": "A",
"authorized_official_last_name": "KENNEY",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "856-691-2424",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW, MAC"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC04764600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL HEALTH PIN",
"identifier": "272399000",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.