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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JODIE KENNEDY, L.C.S.W.

Active Sole Proprietor

JODIE KENNEDY, L.C.S.W. is a Clinical Social Worker healthcare provider located in CARBONDALE, Illinois. NPI 1083930705 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · CARBONDALE, IL

Registration Details

NPI Number
1083930705
Provider Type
Individual
Gender
Female
NPI Issued
Apr 20, 2010 (16.139440496182 yrs)
Last Updated
Nov 15, 2023
Licenses
149.014109 (IL)
149-014109 (IL)
Sole Proprietor
Yes

Practice Information

Address
3412 S ILLINOIS AVE
CARBONDALE, IL, 629038362
Browse IL providers · Browse ZIP 62903
Phone
6183271304
Fax
6184578844
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Counselor

Other Clinical Social Worker Providers in CARBONDALE, IL

Name Credential NPI
MR. JOHN M BOGET LCSW 1770585416
KATHY A COOPER LCSW 1558340257
JENNIFER C. HAMMONDS LCSW 1346200805
JENNIFER L DELOACH LCSW 1245240811
MS. THERESA EYTALIS L.C.S.W. 1851426233
MARK M SCHLOEMANN MSW,LCSW 1922133586
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.