MS. MARY JULIANNE KENNY (NPI# 1760032023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760032023 |
| Entity Type | Individual |
| Full Name | MS. MARY JULIANNE KENNY |
| Credential | LCSW |
| Practice Address |
105 E Pattagansett Rd Niantic CT 06357-2300 |
| Practice Telephone | 8603891027 |
| Mailing Telephone | 8603891027 |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2020-06-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
010687 | CT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18 Oneco St, Norwich, CT 063603440 | 8603891027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841215373 | Mary E Kenny | Nurse Practitioner | 18765 Riverside Drive, Vansant, VA 24656 | 2006-07-13 |
| 1639402035 | Mary Ann Kenny | Registered Nurse | 1263 N 15th St, Laramie, WY 82072-2343 | 2009-09-16 |
| 1750481701 | Mary B Kenny | Registered Nurse | 314 S Manning Blvd, Albany, NY 12208-1708 | 2006-09-22 |
| Street Address |
105 E PATTAGANSETT RD |
| City | NIANTIC |
| State | CT |
| Zip Code | 06357-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093094401 | Pamela Dhillon | Nurse Practitioner | 215 West Main St, Niantic, CT 06357 | 2011-08-16 |
| 1841454485 | Richard Frederick Jones IIi | Obstetrics & Gynecology | 224 Old Balck Point Rd, Niantic, CT 06357 | 2008-07-14 |
| 1437224771 | Margaret C Barili | Registered Nurse | 369 Main Street, Niantic, CT 06357 | 2006-11-21 |
| 1720163942 | Carole C Olson | Psychologist | 4 N. Pine Street, Ninantic, CT 06357 | 2006-10-26 |
| 1427151513 | Melvin Harold Engel | Family Medicine | 50 Green Cliff Drive, Niantic, CT 06357 | 2006-09-06 |
| 1457304420 | Michele Nadine Litwin | Nurse Practitioner | 30 W Main Street, Niantic, CT 06357 | 2006-05-18 |
| 1487133906 | Ryne Mcmullen | Physical Therapist | 11 Freedom Way Unit B2, Niantic, CT 06357 | 2018-08-07 |
| 1558720854 | Bodhi Naturopathic LLC | Naturopath | 17 Hope Street, Nianic, CT 06357 | 2016-02-15 |
| 1477980480 | Heather Michelle Rynkowski | Physician Assistant | 365 Montauk Ave, Office # 3.525, New London, CT 06357 | 2013-10-04 |
| 1245662592 | Erica L Lussier | Nurse Practitioner | 248 Flanders Rd, Niantic, CT 06357 | 2013-08-08 |
| Find all providers in zip 06357 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316413859 | Kristie Scott | Social Worker | 461 Main St Fl 2, Niantic, CT 06357-3103 | 2018-10-23 |
| 1992150536 | Heather Hoagland LLC | Social Worker | 14 Bush Hill Dr, Niantic, CT 06357-1805 | 2016-05-02 |
| 1083098966 | Jessica Sellins | Social Worker | 8 W Main St Ste 2-9, Niantic, CT 06357-2331 | 2015-07-10 |
| 1881939452 | Martin Dacunha | Social Worker | 38 Smith St, Bldg 804, Niantic, CT 06037 | 2012-12-07 |
| 1235364084 | Frederick Lee Stern | Social Worker | 108 E Pattagansett Rd, Niantic, CT 06357-2357 | 2009-05-22 |
| 1649396458 | Judith F. Gruber | Social Worker | 69 Stoneywood Dr, Niantic, CT 06357-1830 | 2007-03-22 |
| 1609806629 | Richmond Covey, Inc. | Social Worker | 206 Roxbury Rd, Niantic, CT 06357-1011 | 2006-07-04 |
| 1477975951 | Javier Alvarado | Social Worker | 38 Smith St, Niantic, CT 06357-2512 | 2014-01-17 |
| 1144653668 | Eileen Grudier | Social Worker | 461 Main St, Niantic, CT 06357-3103 | 2013-08-20 |
| 1538245196 | Jill Richmond-covey | Social Worker | 206 Roxbury Rd, Niantic, CT 06357-1011 | 2006-10-27 |
| Find all providers in NIANTIC | ||||
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| 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.