MRS. MARY ALICE MCKENNELL LCSW
NPI 1356452288
Social Worker - Clinical in Loma Linda, CA

Q: What is Mary Mckennell's NPI number?

The NPI number for Mary Mckennell is 1356452288. It was assigned to this individual provider in the NPPES registry on August 31, 2006. The provider is also known as Mary Alice Mckennell Lcsw.

Q: What is Mary Mckennell's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Mary Mckennell was last updated on June 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 31, 2006

11201 BENTON ST, LOMA LINDA VA HEALTHCARE SYSTEM, LOMA LINDA, CA 92357(909) 825-7084(909) 422-3186 Get Directions Write a Review

NPPES record last updated: June 13, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mrs. Mary Alice Mckennell Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY ALICE MCKENNELL LCSW (NPI 1356452288) is an individual clinical provider in Loma Linda, California, licensed in California (LCS 15254) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1356452288

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. MARY ALICE MCKENNELLCredential: LCSW

Location Address11201 BENTON ST, LOMA LINDA VA HEALTHCARE SYSTEMLoma Linda, CA 92357-1000

Mailing Address26259 Nottingham DrLoma Linda, CA 92354-4164 · (909) 825-7084 · Fax (909) 422-3186

Phone(909) 825-7084

Fax(909) 422-3186

Sole ProprietorNo

Enumeration DateAugust 31, 2006

Last NPPES UpdateJune 13, 2016

✔ NPI 1356452288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · LCS 15254

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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

11201 BENTON ST, Loma Linda, CA 92357

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Other Names 1

Former Name (1)Mary Alice Mckennell Lcsw

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ARTHUR CHUNG-LIUNG CHANG M.D.

Radiology (Diagnostic Radiology)

11201 BENTON ST, VA LOMA LINDA HEALTHCARE SYSTEM - DEPT OF RADIOLOGY
LOMA LINDA, CA 92357

San Bernardino County (909) 825-7084

JUNGMI LEE LCSW

Social Worker (Clinical)