HEATHER HART KENNEDY, LCSW, LLC (NPI# 1053934034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053934034 |
| Entity Type | Organization |
| Organization Name | HEATHER HART KENNEDY, LCSW, LLC |
| Practice Address |
1110 N Old World 3rd St Ste 401 Milwaukee WI 53203-1117 |
| Mailing Address |
5669 N Bethmaur Ln Glendale WI 53209-4202 |
| Practice Telephone | 4142240800 |
| Practice Fax Number | 4142240883 |
| Mailing Telephone | 4146146299 |
| Mailing Fax Number | 4144314236 |
| Enumeration Date | 2020-05-25 |
| Last Update Date | 2020-05-25 |
| Authorized Official Name | MS. HEATHER JEAN HART KENNEDY (OWNER) |
| Authorized Official Telephone | 4146146299 |
| Authorized Official Credential | MSW, LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
1110 N OLD WORLD 3RD ST STE 401 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53203-1117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316211998 | Ami S Bedi | Counselor | 1110 N Old World 3rd St Ste 401, Milwaukee, WI 53203-1117 | 2012-02-29 |
| 1992322804 | Patricia Marchant, Lcsw, LLC | Social Worker | 1110 N Old World 3rd St Ste 401, Milwaukee, WI 53203-1117 | 2020-06-26 |
| 1962027797 | Regina Goodman, L.c.s.w., LLC | Social Worker | 1110 N Old World 3rd St Ste 401, Milwaukee, WI 53203-1117 | 2020-06-08 |
| 1831713940 | Akhilanda Consulting LLC | Community/Behavioral Health | 1110 N Old World 3rd St Ste 401, Milwaukee, WI 53203-1117 | 2020-06-04 |
| 1225651201 | Serena Clardie, Lcsw, LLC | Clinic/Center | 1110 N Old World 3rd St Ste 401, Milwaukee, WI 53203-1117 | 2020-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013463272 | Kameela Jackson | Registered Nurse | 606 E Juneaue Ave. 511812, Milwaukee, WI 53203 | 2016-08-28 |
| 1528239928 | Christina Marie Sauber | Physical Therapy Assistant | 111 W. Michigan Street, Milwaukee, WI 53203 | 2008-03-13 |
| 1720273493 | Michelle Lynn Vogel | Speech-Language Pathologist | 111 West Michigan St, Prostep/extendicare Healthservices, Milwaukee, WI 53203 | 2007-09-06 |
| 1265572564 | Eye Care of Wisconsin, Inc | Health Maintenance Organization | 740 North Plankinton Ave, #730b, Milwaukee, WI 53203 | 2007-02-07 |
| 1073687349 | Riverwalk Psychotherapy Associates, LLC | Social Worker | 1110 N. Old World Third St., Suite 401, Milwaukee, WI 53203 | 2006-11-20 |
| 1144793423 | Carissa Deanna Basile | Behavioral Analyst | 525 N 6th St, Milwaukee, WI 53203 | 2019-01-09 |
| 1275975807 | Sandra Eiler | Counselor | 633 W Wisconsin Ave, Suite 1810, Milwaukee, WI 53203 | 2013-07-24 |
| 1154693331 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 826 N Plankinton Ave Ste 100, Milwaukee, WI 53203 | 2012-02-02 |
| 1821277310 | Rosalie C Mackay | Community Health Worker | 111 W Michigan St, Prostep/extendicare Health Services, Milwaukee, WI 53203 | 2007-10-31 |
| 1023131240 | Gina G Negrette | Psychiatry & Neurology | 820 N Plankinton Ave, Milwaukee, WI 53203 | 2007-04-10 |
| Find all providers in zip 53203 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316587439 | Sixteenth Street Community Health Centers, Inc. | Clinic/Center | 1635 W National Ave, Milwaukee, WI 53204-1130 | 2020-01-07 |
| 1689149700 | Birt Supportive Services LLC | Clinic/Center | 4868 N 89th St, Milwaukee, WI 53225-4106 | 2018-10-04 |
| 1285181735 | Aurora Family Services | Clinic/Center | 3200 W. Highland Blvd, Aurora Family Services, Milwaukee, WI 53210 | 2016-09-01 |
| 1679981328 | Life Changing Ministries Substance Abuse Services | Clinic/Center | 1134 W North Ave 2nd Floor, Milwaukee, WI 53205 | 2014-07-25 |
| 1962839589 | Shoreview Counseling Services | Clinic/Center | 4950 N 21st St, Lower Level, Milwaukee, WI 53209-5750 | 2013-09-27 |
| 1952608721 | Community Advocates, Inc | Clinic/Center | 4906 W Fond Du Lac Ave, Milwaukee, WI 53216-2325 | 2011-02-14 |
| 1841438769 | Counseling & Transition Center Inc | Clinic/Center | 3073 S. Chase Ave, Suite 326, Milwaukee, WI 53207 | 2009-01-30 |
| 1639193212 | Horizon Healthcare, Inc | Clinic/Center | 5408 W Burleigh St, Milwaukee, WI 53210-1624 | 2006-07-27 |
| 1033772058 | Different Shades of Healing, LLC | Clinic/Center | 6830 W Villard Ave Ste 190, Milwaukee, WI 53218-3968 | 2019-04-16 |
| 1649732850 | Sarah Lynn Morschauser | Clinic/Center | 8901 W Capitol Dr, Milwaukee, WI 53222-1706 | 2019-04-05 |
| Find all providers in MILWAUKEE | ||||
Please comment or provide details below to improve the information on HEATHER HART KENNEDY, LCSW, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.