Edith L Kenna is a Clinical in Fort Wayne, Indiana. Edith L Kenna practices all healthcare services and medical treatments related to Clinical. The NPI Number for Edith L Kenna is 1154358406. The last update date is 2007-07-08.
Edith L Kenna's current location address is 909 E State Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604812700 and fax number 2604812717. The mailing address for Edith L Kenna is 909 E State Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edith L Kenna |
|---|---|
| Address | 909 E State Blvd, Fort Wayne, Indiana |
| Phone Number | 2604812700 |
| Fax Number | 2604812717 |
| Sole Proprietor | N |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1154358406 |
|---|---|
| Provider Enumeration Date | 2006-06-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 909 E State Blvd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468053404 |
| Phone Number | 2604812700 |
| Fax Number | 2604812717 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34003613A |
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Definition: 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, certif |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Edith L Kenna by the Centers for Medicare & Medicaid Services?
The Edith L Kenna has been assigned the NPI (National Provider Identifier) 1154358406 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Edith L Kenna's facilities are situated?
The facilities of Edith L Kenna are physically located at the following address: 909 E State Blvd, Fort Wayne, IN, 468053404.
What is Edith L Kenna's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Edith L Kenna is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1154358406 to Edith L Kenna?
The Centers for Medicare & Medicaid Services originally issued the 1154358406 to Edith L Kenna on 2006-06-26.
As of what date were the Edith L Kenna's details last updated?
The information pertaining to the Edith L Kenna, including its address, specialty, and other details, was most recently updated on 2007-07-08.