Active NPIIndividual provider

Mr. Michael Kennedy, LCDP

Counselor, Addiction (Substance Use Disorder) in Wakefield, Rhode Island

NPI Number1316193808
Practice location
55 Cherry Ln, Wakefield, RI 02879-3617
Fax
401-364-9104
Last updated
April 28, 2011

Michael Kennedy is a Counselor, Addiction (Substance Use Disorder) based in Wakefield, RI. Michael Kennedy practices in Wakefield, RI and has the professional credentials of LCDP. The NPI Number for Michael Kennedy is 1316193808. The current practice location address for Michael Kennedy is 55 Cherry Ln, Wakefield, RI 02879-3617 and can be reached out via phone at 401-364-7705 and via fax at 401-364-9104.

Provider Profile Details

NPI Number
1316193808
Provider Name
Michael Kennedy
Credential
LCDP
Provider Entity Type
Individual
Gender
Male
Address
55 Cherry Ln, Wakefield, RI 02879-3617
Phone Number
401-364-7705
Fax Number
401-364-9104
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
August 15, 2008
Last Update Date
April 28, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Cherry Ln
Wakefield, RI 02879-3617
Zip
02879-3617
Phone Number
401-364-7705
Fax Number
401-364-9104
Wakefield, RI 02879Get directions →

Provider Business Mailing Address Details

Address
4705A Old Post RD
Charlestown, RI 02813-1819
City
Charlestown
State
RI
Zip
02813-1819
Phone Number
401-364-7705
Fax Number
401-364-9104

License Information

Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · 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 Mr. Michael Kennedy, LCDP?

The NPI number of Mr. Michael Kennedy, LCDP is 1316193808. It was assigned on August 15, 2008 and is currently active in the NPPES registry.

What is the specialty of Mr. Michael Kennedy, LCDP?

Mr. Michael Kennedy, LCDP is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X).

Where does Mr. Michael Kennedy, LCDP practice?

The practice location is 55 Cherry Ln, Wakefield, RI 02879-3617. The office can be reached at 401-364-7705 (phone) or 401-364-9104 (fax).

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 1316193808 directly on the NPPES registry website.

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