Cheryl Caniff Kennett, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW8295 Issued in FL

Practice address

2202 Marcia Dr
Orange Park, FL 32073-5231

Phone

(904) 312-3026

Fax

(904) 375-0875

NPI assigned

Jan 1, 2008

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 names 1

• C.C. Kennett Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1199145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1831374529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 MARCIA DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735231",
            "telephone_number": "904-312-3026",
            "fax_number": "904-375-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 MARCIA DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735231",
            "telephone_number": "904-312-3026",
            "fax_number": "904-375-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNETT",
        "first_name": "CHERYL",
        "middle_name": "CANIFF",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-01",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "C.C.",
            "last_name": "KENNETT",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Leslie I Kelm, PMHNP-BC
• Elizabeth Kennedy
• Maryann Kenneson, M.D.
• Kimberley Anne Kennett, RN
• Kynsi Kennison
• Kens United Optical
• Key Medical Transport, LLC.
• Keys to the Heart Healthcare LLC

• Clinical Social Worker in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.