Ms Kathleen Mary Mckenna, LICSW is a
Social Worker - Clinical based in Brockton, Massachusetts. Ms Kathleen Mary Mckenna is licensed to practice in Rhode Island (license number ISW01678) and her current practice location is
225 Liberty St, Brockton, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(508) 427-0246.
NPI number for Ms Kathleen Mary Mckenna is 1720282130 and her current mailing address is 64 Ashley Ln, Middleboro, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720282130.
Healthcare Provider's Profile
| Full Name | Ms Kathleen Mary Mckenna |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 225 Liberty St, Brockton, Massachusetts |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720282130
- Provider Enumeration Date: 06/12/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Kathleen Mary Mckenna such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720282130 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1575 (Massachusetts) | Primary |
| 1041C0700X | Social Worker - Clinical | 1028748 (Massachusetts) | Primary |
| 1041C0700X | Social Worker - Clinical | ISW01678 (Rhode Island) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kathleen Mary Mckenna is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Kathleen Mary Mckenna, LICSW
64 Ashley Ln,
Middleboro, MA 02346-3200
Ph: (508) 946-3478 | Ms Kathleen Mary Mckenna, LICSW
225 Liberty St,
Brockton, MA 02301-5571
Ph: (508) 427-0246 |
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