Healthcare Provider Details

I. General information

NPI: 1942111794
Provider Name (Legal Business Name): MARGARET B KENERLY, LCSW, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11612 NEW BOND ST
FREDERICKSBURG VA
22408-1864
US

IV. Provider business mailing address

11612 NEW BOND ST
FREDERICKSBURG VA
22408-1864
US

V. Phone/Fax

Practice location:
  • Phone: 540-842-2961
  • Fax:
Mailing address:
  • Phone: 540-842-2961
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. MARGARET B KENERLY
Title or Position: LCSW
Credential: LCSW
Phone: 540-842-2961