Provider Demographics
NPI:1962263418
Name:MCDONNELL, KEARNEY GREENLEAF (LMSW)
Entity type:Individual
Prefix:
First Name:KEARNEY
Middle Name:GREENLEAF
Last Name:MCDONNELL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1112 BOURBON ST UNIT D
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70116-2710
Mailing Address - Country:US
Mailing Address - Phone:908-938-6443
Mailing Address - Fax:
Practice Address - Street 1:601 N CARROLLTON AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-4700
Practice Address - Country:US
Practice Address - Phone:504-224-9794
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA176081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical