Janice Carol McKinnon, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

04630 Issued in MD

Practice address

679 Lucky Leaf Cir
Baltimore, MD 21228-1788

Phone

(410) 802-8636

NPI assigned

Jul 8, 2016

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)

Enrolled

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467936000000",
    "number": "1831541382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 LUCKY LEAF CIR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212281788",
            "telephone_number": "410-802-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "679 LUCKY LEAF CIR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212281788",
            "telephone_number": "410-802-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNON",
        "first_name": "JANICE",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "04630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamille McKinney, MSW
• Kathryn Joy McKinney, BSN,RN
• Kellie O'Leary McKinney, MS, LCPC
• Mary Ann McKinney
• Breana McKinnon
• Robert Paxton McKinstry, MD
• Ajah McKnight
• Denia Lenee Monique McKnight
• Joshua McKnight
• Kristina Lea McKnight, RMP

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; 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.