Provider Demographics
NPI:1477930683
Name:KENNEY-FUTRELL, NAKEESHA MICHELLE (LCSW)
Entity Type:Individual
Prefix:
First Name:NAKEESHA
Middle Name:MICHELLE
Last Name:KENNEY-FUTRELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:NAKEESHA
Other - Middle Name:
Other - Last Name:KENNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2324 THORNTON RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17109-1820
Mailing Address - Country:US
Mailing Address - Phone:717-810-8351
Mailing Address - Fax:717-516-6186
Practice Address - Street 1:179 WATSON ST
Practice Address - Street 2:
Practice Address - City:STEELTON
Practice Address - State:PA
Practice Address - Zip Code:17113-2146
Practice Address - Country:US
Practice Address - Phone:717-516-0921
Practice Address - Fax:717-516-6186
Is Sole Proprietor?:No
Enumeration Date:2015-04-27
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW132126104100000X
PACW0216041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker