MRS. JAMIE MCKENNA LCSW NPI 1215311576

NPI Information

  • NPI: 1215311576
  • Provider Name: MRS. JAMIE MCKENNA, LCSW
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 120 PLEASANT HILL ROAD
    UNIT 160
    SEBASTOPAL, CA
    ZIP 95472
  • Phone: (707) 582-0404

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NPI Details

MRS. Jamie Mckenna, LCSW is a student in an organized health care education training program in Sebastopal, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MRS. Jamie Mckenna, LCSW NPI is 1215311576. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

120 PLEASANT HILL ROAD
UNIT 160
SEBASTOPAL, CA
ZIP 95472
Phone: (707) 582-0404

The enumeration date for this NPI number is 7/16/2015 and was last updated on 9/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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