Michael Kenney, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW005593 Issued in GA

Practice address

3031 Cowart Rd
Dawsonville, GA 30534-4907

Phone

(703) 217-3627

NPI assigned

Oct 9, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jennifer Carson Dba Carson Counseling

  • Professional Counselor
  • Dawsonville, GA
  • NPI 1851993216
  NPD
• Cocreate Prof Corp

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1396771697
  NPD (past)

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1952552796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4465 MARTIN RD STE A",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300283952",
            "telephone_number": "703-217-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 COWART RD",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305344907",
            "telephone_number": "703-217-3627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4465 Martin Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300283952",
            "country_code": "US",
            "telephone_number": "703-217-3627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "MICHAEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-09",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005593",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011225",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nannono Maria Kayondo, FNP -C
• William Joseph Keating, M.D.
• Nabil Keith, MD
• Autumn Lee Keller, ATC, LAT
• Jacob Isaac Kelly, PT, DPT
• Jessica Kersey
• Eugene Affum Keteku
• Jeung Hyoun Kim, OD
• Seung Yun Kim, MD
• Suzanne Kimmons-Doty, OD

• Clinical Social Worker in Dawsonville, GA
• Providers in Dawsonville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.