KEVIN D. KENNEDY (NPI# 1215976980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215976980 |
| Entity Type | Individual |
| Full Name | KEVIN D. KENNEDY |
| Credential | LICSW |
| Practice Address |
1250 Hancock St Quincy MA 02169-4339 |
| Mailing Address |
147 Milk St Provider Enrollment 9th Floor Boston MA 02109-4806 |
| Practice Telephone | 6177740920 |
| Mailing Telephone | 6175598051 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2009-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
103502 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS | P07065 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629399647 | Kevin Chambliss Kennedy Jr. | Dentist | 590 Fire Station Rd Ste C, Clarksville, TN 37043-4016 | 2010-06-14 |
| 1922268788 | Kevin P Kennedy | Specialist | 1100 Garden Hwy., Ste. 900, Yuba City, CA 95991-7598 | 2008-06-13 |
| 1730201310 | Kevin Michael Kennedy | Dentist | 3193 Main St, Bridgeport, CT 06606-4225 | 2007-04-04 |
| 1538245303 | Kevin Mark Kennedy | Dentist | 223 Wisconsin Ave, Waukesha, WI 53186-4926 | 2006-10-27 |
| 1679102263 | Kevin Christopher Kennedy | Student in an Organized Health Care Education/Training Program | 725 North St, Pittsfield, MA 01201-4109 | 2020-04-06 |
| 1548896400 | Kevin Patrick Kennedy | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz, Psychiatry, Los Angeles, CA 90095-7419 | 2020-03-22 |
| 1215322342 | Kevin David Kennedy | Family Medicine | 201 16th Ave E, Seattle, WA 98112-5226 | 2015-04-06 |
| 1851569081 | Kevin Thomas Kennedy | Physician Assistant | 15 Abbey Creek Ct, Care of Usa Medical Services, P.C., East Islip, NY 11730-2223 | 2008-02-11 |
| 1841492568 | Kevin D Kennedy | Physical Therapist | 1200 N State St, Suite 500, Jackson, MS 39202-2000 | 2007-06-04 |
| 1831225838 | Kevin Meers Kennedy | Anesthesiology | 1515 6th Ave S, Cooper Green Hospital, Birmingham, AL 35233-1601 | 2007-02-26 |
| Street Address |
1250 HANCOCK ST |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-4339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780683276 | Mirza Baig | Internal Medicine | 1250 Hancock St, Quincy, MA 02169-4339 | 2005-07-18 |
| 1881241925 | Laura Jarvi | Nurse Practitioner | 1250 Hancock St, Quincy, MA 02169-4339 | 2019-08-22 |
| 1700320686 | Jillian Fiori | Speech-Language Pathologist | 1250 Hancock St, Quincy, MA 02169-4339 | 2016-12-12 |
| 1740734623 | Megan Flicker | Registered Nurse | 1250 Hancock St, Quincy, MA 02169-4339 | 2016-08-09 |
| 1790135556 | Jennie Krasker | Obstetrics & Gynecology | 1250 Hancock St, Quincy, MA 02169-4339 | 2016-06-13 |
| 1104206861 | Juan Qu | Optometrist | 1250 Hancock St, Quincy, MA 02169 | 2015-06-08 |
| 1568877447 | Dermcare Experts LLC | Dermatology | 1250 Hancock St, Suite 505s, Quincy, MA 02169-4339 | 2014-06-30 |
| 1104266154 | Aviva S. Wilcox | Psychologist | 1250 Hancock St, Harvard Vanguard Medical Associates - Behavioral Health, Quincy, MA 02169-4339 | 2013-07-03 |
| 1659636496 | William Eugene Fitzgerald | Counselor | 1250 Hancock St, Quincy, MA 02169-4339 | 2012-07-09 |
| 1467713602 | Erica Thrower | Counselor | 1250 Hancock St, Quincy, MA 02169-4339 | 2012-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831726165 | Saira Lopes | Social Worker | 17 Greenleaf St Apt 5, Quincy, MA 02169-4443 | 2020-03-25 |
| 1649804931 | Nancy Clarke | Social Worker | 179 Thomas Burgin Pkwy, Quincy, MA 02169-4222 | 2020-02-26 |
| 1922564368 | Arealus Pough | Social Worker | 1 Dunns Hill Rd Apt 4, Quincy, MA 02169-4157 | 2019-02-11 |
| 1730658824 | David S Novak | Social Worker | 81 Albatross Rd, Quincy, MA 02169-2601 | 2018-11-19 |
| 1164991725 | Carrie Little | Social Worker | 207 County Hospital Road Suite 109, Quincy, CA 95971 | 2018-11-13 |
| 1023592748 | Rachel Sonia John | Social Worker | 625 Thomas Burgin Pkwy Apt 419, Quincy, MA 02169-7654 | 2018-09-18 |
| 1013499300 | Elizabeth Robinson | Social Worker | 44 Shea St, Quincy, MA 02169-5840 | 2018-09-03 |
| 1730661190 | Yvonne Ann Roth | Social Worker | 1 Enterprise Drive, Quincy, MA 02171 | 2018-09-03 |
| 1932687985 | Stacey Barker | Social Worker | 11 Copley St, Quincy, MA 02170-3033 | 2018-08-01 |
| 1932686250 | Lee-anne Jacobs | Social Worker | 100 Hancock St Fl 7, Quincy, MA 02171-1745 | 2018-07-20 |
| Find all providers in QUINCY | ||||
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| 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.