Active NPIIndividual provider

Kevin D Kennedy, LICSW

Social Worker, Clinical in Quincy, Massachusetts

NPI Number1215976980
Practice location
1250 Hancock St, Quincy, MA 02169-4339
Fax
—
Last updated
April 7, 2009

Kevin D. Kennedy is a Social Worker, Clinical based in Quincy, MA. Kevin D. Kennedy practices in Quincy, MA and has the professional credentials of LICSW. The NPI Number for Kevin D. Kennedy is 1215976980 and holds a License No. 103502 (MA). The current practice location address for Kevin D. Kennedy is 1250 Hancock St, Quincy, MA 02169-4339 and can be reached out via phone at 617-774-0920.

Provider Profile Details

NPI Number
1215976980
Provider Name
Kevin D. Kennedy
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
1250 Hancock St, Quincy, MA 02169-4339
Phone Number
617-774-0920
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
June 6, 2006
Last Update Date
April 7, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
1250 Hancock St
Quincy, MA 02169-4339
City
Quincy
Zip
02169-4339
Phone Number
617-774-0920
Quincy, MA 02169Get directions →

Provider Business Mailing Address Details

Address
147 Milk St
Provider Enrollment 9TH Floor
Boston, MA 02109-4806
City
Boston
State
MA
Zip
02109-4806
Phone Number
617-559-8051

License Information

License Number
103502
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kevin D Kennedy, LICSW?

The NPI number of Kevin D Kennedy, LICSW is 1215976980. It was assigned on June 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Kevin D Kennedy, LICSW?

Kevin D Kennedy, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 103502.

Where does Kevin D Kennedy, LICSW practice?

The practice location is 1250 Hancock St, Quincy, MA 02169-4339. The office can be reached at 617-774-0920 (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 1215976980 directly on the NPPES registry website.

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