Alexandra J Kennedy, LCSW
Social Worker in Medford, Massachusetts
1013626035- Practice location
- 47 Washington St, Medford, MA 02155-4728
- Phone
- 413-464-3067
- Fax
- —
- Last updated
- November 17, 2022
Alexandra Jane Kennedy is a Social Worker based in Medford, MA. Alexandra Jane Kennedy practices in Medford, MA and has the professional credentials of LCSW. The NPI Number for Alexandra Jane Kennedy is 1013626035 and holds a License No. 228756 (MA). The current practice location address for Alexandra Jane Kennedy is 47 Washington St, Medford, MA 02155-4728 and can be reached out via phone at 413-464-3067.
Provider Profile Details
- NPI Number
- 1013626035
- Provider Name
- Alexandra Jane Kennedy
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 47 Washington St, Medford, MA 02155-4728
- Phone Number
- 413-464-3067
- Primary Taxonomy
- Social Worker · 104100000X
- Sole Proprietor
- Yes
- Other Names
- Alexandra Jane Wheeler (Former Name)
- Provider Enumeration Date
- November 17, 2022
- Last Update Date
- November 17, 2022
- Certification Date
- November 13, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 47 Washington St
Medford, MA 02155-4728 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-4728
- Phone Number
- 413-464-3067
Provider Business Mailing Address Details
- Address
- 16 Island Hill Ave Unit 104
Melrose, MA 02176-6141 - City
- Melrose
- State
- MA
- Zip
- 02176-6141
- Phone Number
- 413-464-3067
License Information
- License Number (1)
- 228756
- License State (1)
- MA
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- 228756
- License State (2)
- MA
- Taxonomy (2)
- Social Worker · 104100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Workers near Medford, MA
View all Social Workers in Medford →Frequently Asked Questions
What is the NPI number of Alexandra J Kennedy, LCSW?
The NPI number of Alexandra J Kennedy, LCSW is 1013626035. It was assigned on November 17, 2022 and is currently active in the NPPES registry.
What is the specialty of Alexandra J Kennedy, LCSW?
Alexandra J Kennedy, LCSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in MA under license number 228756.
Where does Alexandra J Kennedy, LCSW practice?
The practice location is 47 Washington St, Medford, MA 02155-4728. The office can be reached at 413-464-3067 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013626035 directly on the NPPES registry website.