Ms Kim Kennedy, LCSW is a
Social Worker - Clinical based in Mc Gregor, Texas. Ms Kim Kennedy is licensed to practice in Texas (license number 67562) and her current practice location is
213 S Madison St, Mc Gregor, Texas. She can be reached at her office (for appointments etc.) via phone at
(254) 236-4158.
NPI number for Ms Kim Kennedy is 1871925511 and her current mailing address is 213 S Madison St, Mc Gregor, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871925511.
Healthcare Provider's Profile
| Full Name | Ms Kim Kennedy |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 213 S Madison St, Mc Gregor, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1871925511
- Provider Enumeration Date: 08/05/2013
- Last Update Date: 03/18/2021
Medical Identifiers
Medical identifiers for Ms Kim Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871925511 | NPI | - | NPPES |
| 260022408 | Other | UT | RAILROAD MEDICARE |
| 876000308007 | Medicaid | UT | |
| 000055266 | Other | UT | MEDICARE PIN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 10424139-3501 (Utah) | Secondary |
| 1041C0700X | Social Worker - Clinical | 50.008366 (Connecticut) | Secondary |
| 1041C0700X | Social Worker - Clinical | 67562 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kim Kennedy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Kim Kennedy, LCSW
213 S Madison St,
Mc Gregor, TX 76657-2328
Ph: (254) 236-4158 | Ms Kim Kennedy, LCSW
213 S Madison St,
Mc Gregor, TX 76657-2328
Ph: (254) 236-4158 |
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