Jessica Kenney

Individual provider Active NPI Case Manager/Care Coordinator · Buzzards Bay, MA

NPI 1992405690 · NPPES record last updated Mar 20, 2023

Key facts

NPI
1992405690
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
258 Main St Ste C3
Buzzards Bay, MA 02532-3253
Phone
(508) 333-1375
NPI assigned
Mar 9, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Sagamore Counseling Past
since Mar 12, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

258 Main St Ste C3
Buzzards Bay, MA 02532-3253

Mailing address

38 Harrison Ave
Buzzards Bay, MA 02532-3214
Phone (702) 418-2942

Other providers in Buzzards Bay, MA

All providers in Buzzards Bay, MA · Case Manager/Care Coordinator in Massachusetts

Sources for this page

Verify at the official NPI Registry.