Kelly Marie MC Henry, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

29689 Issued in CA

Practice address

1250 6TH Ave Ste 100
San Diego, CA 92101-4368

Phone

(619) 515-2430

NPI assigned

Oct 28, 2008

Last updated

Mar 17, 2018By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1851544340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 SANTA CRUZ AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921073311",
            "telephone_number": "619-552-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 6TH AVE STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921014368",
            "telephone_number": "619-515-2430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3705 Mission Blvd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921097104",
            "country_code": "US",
            "telephone_number": "619-515-2444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3350 La Jolla Village Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921610002",
            "country_code": "US",
            "telephone_number": "619-552-8585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MC HENRY",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "29689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie A. MC Cain, NP
• Bill H. MC Carberg, MD
• Linda Arcelia MC Donald, RN
• Robert F. MC Ginn, MD
• Ann MC Gowan-Tuskes, MD
• Kelly Marie MC Kenna, MD, PHD
• William D. MC Kown, MD
• C MC Laughlin, RN
• Michael Gerald MC Mahon, D.D.S.
• Joseph M. MC Quaide, MD

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• 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.