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MS. KIM KENNEDY LCSW NPI 1871925511


NPI Information

NPI: 1871925511
Provider Name: MS. KIM KENNEDY, LCSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
213 S MADISON ST
MC GREGOR, TX
ZIP 76657
Phone: (254) 236-4158
Get Directions

MS. Kim Kennedy, LCSW is a clinical social worker in Mc Gregor, TX. The provider is 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. MS. Kim Kennedy, LCSW NPI is 1871925511. 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:

213 S MADISON ST
MC GREGOR, TX
ZIP 76657-328
Phone: (254) 236-4158

The enumeration date for this NPI number is 8/5/2013 and was last updated on 3/18/2021.


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
11041C0700XSocial WorkerClinical67562TEXASYes
21041C0700XSocial WorkerClinical50.008366CONNECTICUTNo
31041C0700XSocial WorkerClinical10424139-3501UTAHNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1876000308007MEDICAIDUTAH
2260022408OTHERUTAHRAILROAD MEDICARE
3000055266OTHERUTAHMEDICARE PIN

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: 5/5/2024

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