Trina Kennelly, M.S.
Individual provider Active NPI Social Worker · South Sioux City, NE
NPI 1992136998 · NPPES record last updated Dec 2, 2013
Key facts
- NPI
- 1992136998
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 107 E 28TH St
South Sioux City, NE 68776-3206 - Phone
- (605) 354-5724
- NPI assigned
- Dec 2, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling & Enrichment Center, Inc | Mental Health | Past | Accepting new patients |
| Counsleing & Enrichment Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
107 E 28TH St
South Sioux City, NE 68776-3206
Mailing address
118 N 5TH St
Oneill, NE 68763-1565
Phone (402) 336-4841
Other providers in South Sioux City, NE
- Jennifer E Kassing
- Nelly Katembo Nsenga
- Natasha Ann Keller
- Horace Michael Kemp
- Ronald Jason Kemp
- Daniel James Kincaid
- David Michael Kincaid
- Lilian Kleinberg
- Kristine Kleve
- Joyce M Klimek
All providers in South Sioux City, NE · Social Worker in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.