- Practice location
- 213 S Madison St, Mc Gregor, TX 76657-2328
- Phone
- 254-236-4158
- Fax
- —
- Last updated
- March 18, 2021
Kim Kennedy is a Social Worker, Clinical based in Mc Gregor, TX. Kim Kennedy practices in Mc Gregor, TX and has the professional credentials of LCSW. The NPI Number for Kim Kennedy is 1871925511 and holds a License No. 10424139-3501 (UT). The current practice location address for Kim Kennedy is 213 S Madison St, Mc Gregor, TX 76657-2328 and can be reached out via phone at 254-236-4158.
Provider Profile Details
- NPI Number
- 1871925511
- Provider Name
- Kim Kennedy
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 213 S Madison St, Mc Gregor, TX 76657-2328
- Phone Number
- 254-236-4158
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Other Names
- Kim Moonan (Former Name)
- Provider Enumeration Date
- August 5, 2013
- Last Update Date
- March 18, 2021
- Certification Date
- March 18, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 213 S Madison St
Mc Gregor, TX 76657-2328 - City
- Mc Gregor
- State
- Texas
- Zip
- 76657-2328
- Phone Number
- 254-236-4158
Provider Business Mailing Address Details
- Address
- 213 S Madison St
Mc Gregor, TX 76657-2328 - City
- Mc Gregor
- State
- TX
- Zip
- 76657-2328
- Phone Number
- 254-236-4158
License Information
- License Number (1)
- 10424139-3501
- License State (1)
- UT
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- 50.008366
- License State (2)
- CT
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X
- License Number (3)
- 67562
- License State (3)
- TX
- Taxonomy (3)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Mc Gregor, TX
View all Social Worker, Clinical providers in Mc Gregor →Frequently Asked Questions
What is the NPI number of Ms. Kim Kennedy, LCSW?
The NPI number of Ms. Kim Kennedy, LCSW is 1871925511. It was assigned on August 5, 2013 and is currently active in the NPPES registry.
What is the specialty of Ms. Kim Kennedy, LCSW?
Ms. Kim Kennedy, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in UT under license number 10424139-3501.
Where does Ms. Kim Kennedy, LCSW practice?
The practice location is 213 S Madison St, Mc Gregor, TX 76657-2328. The office can be reached at 254-236-4158 (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 1871925511 directly on the NPPES registry website.