MR. CHARLES T. KENNEDY JR. (NPI# 1467824425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467824425 |
| Entity Type | Individual |
| Full Name | MR. CHARLES T. KENNEDY JR. |
| Credential | LMSW |
| Practice Address |
1309 S Linden Rd Ste C Flint MI 48532-3443 |
| Practice Telephone | 8106301152 |
| Practice Fax Number | 8106309107 |
| Mailing Telephone | 8106301152 |
| Mailing Fax Number | 8106309107 |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2019-09-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6801105455 | MI | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | 6801098365 | MI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 420 W 5th Ave, Flint, MI 485032445 | 8102573709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124455985 | Charles Kennedy Jr. | Specialist | 8454 Northview Pass, Fair Oak Ranch, TX 78015 | 2013-10-10 |
| 1942576111 | Charles Derensbough Kennedy | Internal Medicine | 229 Sycamore Grove St, Simi Valley, CA 93065-7342 | 2012-03-31 |
| 1902981624 | Charles A Kennedy | Social Worker | 4120 N 20th St Ste B, Phoenix, AZ 85016-6022 | 2006-10-25 |
| 1750485116 | Charles Reed Kennedy | Psychologist | 112 Holland Ave, Albany, NY 12208-3404 | 2006-09-07 |
| 1124477708 | Charles Kennedy | Student in an Organized Health Care Education/Training Program | 500 Cherry St, Bluefield, WV 24701-3306 | 2016-06-06 |
| 1548583172 | Charles Reggie Kennedy Sr. | Orthotist | 777 Lakeland Dr, Jackson, MS 39216-4611 | 2010-03-10 |
| 1730320805 | Charles M Kennedy | Counselor | 171 Sw Court St, Dallas, OR 97338-3112 | 2009-03-18 |
| 1528260130 | Charles J Kennedy | Psychologist | 214 College Park Plz, Johnstown, PA 15904-2833 | 2007-06-05 |
| 1790896199 | Charles A. Kennedy | Dentist | 1000 Parkway Rd, South Charleston, WV 25309-9418 | 2006-08-31 |
| 1912984428 | Charles C Kennedy | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2005-12-27 |
| Street Address |
1309 S LINDEN RD STE C |
| City | FLINT |
| State | MI |
| Zip Code | 48532-3443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053319863 | Terry Lee Whyte Jr. | Nurse Practitioner | 1309 S Linden Rd Ste C, Flint, MI 48532-3443 | 2005-07-14 |
| 1932714615 | Jason Mark Scimemi | Psychologist | 1309 S Linden Rd Ste C, Flint, MI 48532-3443 | 2020-09-10 |
| 1972948925 | Nichole Rae Mead-hall | Psychologist | 1309 S Linden Rd Ste C, Flint, MI 48532-3443 | 2013-05-03 |
| 1255509832 | Delta Family Clinic South P.c | Clinic/Center | 1309 S Linden Rd Ste C, Flint, MI 48532 | 2008-02-15 |
| 1104030725 | Diana Elliott Carpenter II | Counselor | 1309 S Linden Rd Ste C, Flint, MI 48532-3443 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
| 1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
| 1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
| 1215412093 | Adria D Haynes | Social Worker | G-4413 Corunna Rd., Flint, MI 48532 | 2018-09-27 |
| 1689159378 | Vip Smiles Dentistry, Pllc | Dentist | 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 | 2018-09-27 |
| 1942794797 | Premier Eye Specialists Pllc | Ophthalmology | 1160 S Linden Rd, Bldg. 1 Ste. A, Flint, MI 48532 | 2018-06-15 |
| 1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
| 1235660291 | Ashley L Boltjes | Massage Therapist | 3277 Beecher Rd, Flint, MI 48532 | 2017-03-22 |
| 1497202774 | Tyneshia Mcfarland | Home Health | 2104 Ridgecliffe Dr, Flint, MI 48532 | 2016-09-05 |
| Find all providers in zip 48532 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730792490 | Brackett's Theraputic Counseling Service | Social Worker | 3922 Larchmont St, Flint, MI 48532-5270 | 2020-08-24 |
| 1598301830 | Valencia J Battle | Social Worker | 2222 S Linden Rd Ste J, Flint, MI 48532-5413 | 2019-11-21 |
| 1285102103 | Robert E. Weiss Advocacy Center for Children and Youth | Social Worker | 515 East St, Flint, MI 48503-1946 | 2018-11-08 |
| 1437626629 | Mezon Green | Social Worker | 2110 Crocker Ave, Flint, MI 48503-5803 | 2018-10-26 |
| 1215412093 | Adria D Haynes | Social Worker | G-4413 Corunna Rd., Flint, MI 48532 | 2018-09-27 |
| 1639653413 | Chad Warren Montague | Social Worker | 1420 West University Ave, Flint, MI 48504 | 2018-09-18 |
| 1801382437 | Board of Education for City of Flint | Social Worker | 923 E Kearsley St, Flint, MI 48503-1974 | 2018-07-06 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1184123978 | Ronda Jolene Sturgis Vanraemdonck | Social Worker | 2425 S Linden Rd Ste F, Flint, MI 48532-5474 | 2018-02-07 |
| 1417461534 | The Best Me Counseling Services LLC | Social Worker | G3326 Corunna Rd, Flint, MI 48532-4731 | 2017-11-28 |
| Find all providers in FLINT | ||||
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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.