Amy Kenney, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 12069 Issued in FL

Practice address

900 NE 18TH Ave
1207
Fort Lauderdale, FL 33304-3063

Phone

(855) 241-7160

Fax

(954) 324-8354

NPI assigned

Nov 3, 2014

Last updated

Nov 3, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Amy Pedersen Former name

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": "1414972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414972800000",
    "number": "1912302902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 NE 18TH AVE",
            "address_2": "1207",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043063",
            "telephone_number": "855-241-7160",
            "fax_number": "954-324-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NE 18TH AVE",
            "address_2": "1207",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043063",
            "telephone_number": "855-241-7160",
            "fax_number": "954-324-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-03",
        "last_updated": "2014-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 12069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "PEDERSEN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ingrid Kenna, PTA
• Ainsley Kennard, PSYD
• Cierro Kennedy
• Yehudis Kenner
• Kenneth H Farrell M.D. PA
• Barbara L Kenney, CRNA
• Kensho Wellness Group, LLC.
• Glen Kenyon
• Andre T Kerr, PA
• Matthew James Kerr, RD

• Clinical Social Worker in Fort Lauderdale, FL
• Providers in Fort Lauderdale, 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 Nov 3, 2014; 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.