VIRGILIA ELIZABETH KENNEDY


Address: 1505 Shepard Drive, Suite 204, Santa Maria, CA 93454
Phone: 8057652300

VIRGILIA ELIZABETH KENNEDY (NPI# 1164995825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164995825
Entity Type Individual
Full Name VIRGILIA ELIZABETH KENNEDY
Other Name ELIZABETH KENNEDY
Credential LCSW
Practice Address 1505 Shepard Drive
Suite 204
Santa Maria
CA 93454
Mailing Address Po Box 7842
Santa Maria
CA 93456-7842
Practice Telephone 8057652300
Mailing Telephone 8057652300
Enumeration Date 2019-01-05
Last Update Date 2019-01-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
LCSW80556 CA Behavioral Health & Social Service Providers

Office Location

Street Address 1505 SHEPARD DRIVE
SUITE 204
City SANTA MARIA
State CA
Zip Code 93454

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1164934246 Vanessa Maya Madrigal Counselor 212 Carmen Ln Ste 2012nd, Santa Maria, CA 93458-7769 2017-10-30
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1154849743 Saucedo Fcc Counselor 1510 Lark St, Santa Maria, CA 93454-7264 2017-09-02
1891213484 Garcia Fcc Counselor 1036 Gaylene Dr, Santa Maria, CA 93458-1221 2017-09-02
1780102376 Paz Fcc Counselor 1640 Capitola St, Santa Maria, CA 93458-7318 2017-09-02
1497270052 Cac Tanglewood Center Counselor 1890 Sandalwood Dr, Santa Maria, CA 93455-2846 2017-08-04
1770008336 Cac Sierra Madre Counselor 1002 Sierra Madre Ave, Santa Maria, CA 93454-6337 2017-08-04
1679098230 Cac Westgate Center Counselor 1240 Bethel Ln Ste 1a, Santa Maria, CA 93458-8387 2017-08-04
1053835025 Cac Los Padres Center Counselor 530 E Enos Dr, Santa Maria, CA 93454-7287 2017-08-01
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Competitor

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City SANTA MARIA
Zip Code 93454

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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