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

CHARLES A KENNEDY, LCSW

Active Sole Proprietor

CHARLES A KENNEDY, LCSW is a Clinical Social Worker healthcare provider located in PHOENIX, Arizona. NPI 1902981624 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PHOENIX, AZ

Registration Details

NPI Number
1902981624
Provider Type
Individual
Gender
Male
NPI Issued
Oct 25, 2006 (19.779269616725 yrs)
Last Updated
Aug 11, 2010
Licenses
6962-123 (WI)
LCSW-12461 (AZ)
Sole Proprietor
Yes

Practice Information

Address
4120 N 20TH ST STE B
PHOENIX, AZ, 850166022
Browse AZ providers · Browse ZIP 85016
Phone
6022849343
Fax
6026511043
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in PHOENIX, AZ

Name Credential NPI
MRS. LAURA A MASTERS MSW 1033118591
MR. THOMAS WILLIAM CALLAHAN MSW 1407845233
HEIDI H HOWARD LCSW 1558352310
MS. SUSAN T FLOWER LCSW-S 1750372199
MS. JUDITH ANN FICELI LCSW 1447235221
MS. SUAYE ANNA MARIA VALENTI LCSW, LISAC, CSAT-S 1356320519
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.