KATHLEEN MARIE KENNEDY (NPI# 1255868121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255868121 |
| Entity Type | Individual |
| Full Name | KATHLEEN MARIE KENNEDY |
| Credential | LCSW |
| Practice Address |
3106 S W S Young Dr Ste 201b Killeen TX 76542-2008 |
| Practice Telephone | (254) 519-4162 |
| Practice Fax Number | 2545193464 |
| Mailing Telephone | 2545194162 |
| Mailing Fax Number | 2545193464 |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2017-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
I1600080 | OH | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
62318 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285949248 | Kathleen Ruth Kennedy | Occupational Therapist | 131 Elizabeth Ave, Belvedere, SC 29841-2422 | 2010-08-15 |
| 1275727026 | Kathleen Kennedy | Dentist | 5700 N Sheridan Rd, Chicago, IL 60660-8769 | 2007-09-04 |
| 1356440804 | Kathleen Grace Kennedy | Optometrist | 552 Castro St, San Francisco, CA 94114-2512 | 2006-09-21 |
| 1528080967 | Kathleen April Kennedy | Internal Medicine | 892 Aerovista Pl Ste 130, San Luis Obispo, CA 93401-8054 | 2006-07-24 |
| 1609405489 | Kathleen Kennedy | Registered Nurse | 7150 Sw Dartmouth St, Tigard, OR 97223-7614 | 2020-04-03 |
| 1841718210 | Kathleen Kennedy | Registered Nurse | 10440 Little Patuxent Pkwy Ste 800, Columbia, MD 21044-3569 | 2017-09-06 |
| 1821522871 | Kathleen Kennedy | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2017-04-17 |
| 1477096642 | Kathleen Kennedy | Registered Nurse | 2052 S Dye Rd, Flint, MI 48532-4122 | 2016-11-21 |
| 1841658358 | Kathleen Kennedy | Counselor | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2016-01-29 |
| 1487983813 | Kathleen Anne Kennedy | Counselor | 3000 United Founders Blvd, 239, Oklahoma City, OK 73112-3958 | 2009-12-14 |
| Street Address |
3106 S W S YOUNG DR STE 201B |
| City | KILLEEN |
| State | TX |
| Zip Code | 76542-2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839446 | Phuong Lan Carter | Counselor | 9312 Bowlfield Drive, Killeen, TX 76542 | 2019-12-30 |
| 1083252209 | Killeen Dental and Orthodontics Pllc | Dentist | 2620 Trimmier Rd, Killeen, TX 76542 | 2019-12-18 |
| 1750935391 | Leo Mora Therapy Services Pllc | Marriage & Family Therapist | 400 W. Jasper Dr. Ste. 100b, Killeen, TX 76542 | 2019-08-01 |
| 1730742305 | Angela Eads | Behavioral Analyst | 3106 S Ws Young Dr, Building A, Suite 104/105, Killen, TX 76542 | 2019-04-18 |
| 1801370572 | Keri Keller | Dentist | 507 W Stan Schlueter Loop Ste 400, Killeen, TX 76542 | 2018-09-19 |
| 1740787209 | Cynthia Waller | Speech-Language Pathologist | 4205 Old Florence Road, Killeen, TX 76542 | 2018-04-11 |
| 1275034597 | Killeen Modern Dentistry, PC | Dentist | 507 W Stan Schlueter Loop, Suite 104, Killeen, TX 76542 | 2018-02-22 |
| 1780182691 | Jennifer Monique Coleman | Counselor | 9706 Shimla Drive, Killeen, TX 76542 | 2018-01-25 |
| 1255870440 | Glori Sommerer | Counselor | 100 S Central Texas Expressway, # 208, Harker Heights, TX 76542 | 2017-02-21 |
| 1306382775 | Dana Michelle Kerekes | Massage Therapist | 5001 Teal Drive, Killeen, TX 76542 | 2017-01-10 |
| Find all providers in zip 76542 | ||||
| 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 |
|---|---|---|---|---|
| 1558996330 | Nadia Le | Social Worker | 3106 S W S Young Dr Ste B-202, Killeen, TX 76542-2000 | 2020-03-11 |
| 1619508389 | Subena Gustave | Social Worker | 3106 Minthorn Dr, Killeen, TX 76542-1932 | 2020-01-30 |
| 1952953861 | Courageous New Directions, Pllc | Social Worker | 202 W Central Texas Expy Ste 206, Killeen, TX 76541-8902 | 2019-07-11 |
| 1316400666 | Kami Diaz | Social Worker | 2710 Cunningham Rd Unit 21104, Killeen, TX 76542-3270 | 2019-04-12 |
| 1902364722 | Helen E Berg | Social Worker | 3106 S W S Young Dr Ste B202, Killeen, TX 76542-2000 | 2019-03-11 |
| 1003315128 | Brandee Nichols | Social Worker | 902 N 10th St, Killeen, TX 76541-4829 | 2018-02-04 |
| 1356884001 | Crystal Clear Behavioral Health Services Inc | Social Worker | 4304a E Central Texas Expy Ste A, Killeen, TX 76543-7308 | 2016-11-29 |
| 1700255064 | Marina E Bigness | Social Worker | 12105 Oakalla Rd, Killeen, TX 76549-2568 | 2015-09-16 |
| 1497132195 | Danita Davis | Social Worker | 1711 E Central Texas Expy Ste 108-6, Killeen, TX 76541-9145 | 2015-05-01 |
| 1023495041 | America S Counseling Centers Pllc | Social Worker | 1711 E Central Texas Expy Ste 101, Killeen, TX 76541-9145 | 2015-04-28 |
| Find all providers in KILLEEN | ||||
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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.