Brandy Michelle Kennerson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

010864 Issued in CT

Practice address

50 Founders PLZ Ste 202
East Hartford, CT 06108-3209

Phone

(860) 689-4222

NPI assigned

Dec 17, 2019

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

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Envision Therapies, LLC

  • Clinical Social Worker
  • East Hartford, CT
  • NPI 1760006373
  Medicare reassignment NPD Authorized official
• Apple Valley Behavioral Health LLC

  • Professional Counselor
  • Plantsville, CT
  • NPI 1568843456
  Medicare reassignment NPD
• Step Up Care PC LLC

  • Counselor
  • Danielson, CT
  • NPI 1154884740
  Medicare reassignment NPD

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1912545203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 312",
            "city": "BEACON FALLS",
            "state": "CT",
            "postal_code": "064030312",
            "telephone_number": "860-689-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 FOUNDERS PLZ STE 202",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083209",
            "telephone_number": "860-689-4222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Oakland Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "South Windsor",
            "state": "CT",
            "postal_code": "060742897",
            "country_code": "US",
            "telephone_number": "860-689-4222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "791 S Main St",
            "address_purpose": "LOCATION",
            "city": "Plantsville",
            "state": "CT",
            "postal_code": "064791519",
            "country_code": "US",
            "telephone_number": "860-689-4222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNERSON",
        "first_name": "BRANDY",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-17",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "010864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasimer Kowalski DMD PC
• Jessica G Kaslow, APRN
• Katie McLarney LLC
• Michael David Katz, DMD
• Rober Alan Katz, DMD
• Gregory L Kernisan, M.D.
• Khakwani Dental PC.
• Mujtaba Khan, PHARMD
• Nicole Kidd-Taylor, LPC-A
• Michelle E Killingsworth, CNM

• Clinical Social Worker in East Hartford, CT
• Providers in East Hartford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.