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KENNEDY HAVERLAND LCSW
NPI 1053009464
Social Worker - Clinical in Albuquerque, NM

Active since April 25, 2023PECOS Enrolled
9007 WASHINGTON ST NE, ALBUQUERQUE, NM 87113(505) 585-2048 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kennedy Haverland Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNEDY HAVERLAND LCSW (NPI 1053009464) is an individual clinical provider in Albuquerque, New Mexico, licensed in New Mexico (SWB-2025-0878) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1053009464
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKENNEDY HAVERLANDCredential: LCSW
Location Address9007 WASHINGTON ST NEAlbuquerque, NM 87113-2722
Mailing Address9007 Washington St NeAlbuquerque, NM 87113-2722 · (505) 585-2048
Phone(505) 585-2048
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 25, 2023
Last NPPES UpdateJune 1, 2026
NPPES CertifiedJune 1, 2026
✔ NPI 1053009464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NM · SWB-2025-0878
Definition
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.
9007 WASHINGTON ST NE, Albuquerque, NM 87113
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kennedy Haverland Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456858802
PECOS Enrollment IDI20251009005052
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kennedy Haverland reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Essential Mental Health, LLC
5.7 mi
Community/Behavioral Health
2601 WYOMING BLVD NE, SUITE 208
Albuquerque, NM 87112
  • Reassigned Medicare billing, New Mexico enrollment
  • 9 clinicians in this Medicare group
NPI 1134442270 (505) 503-0272

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87113 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.26 – $166.80
Typical copayment $0.00 (range $13.56 – $41.70)
Most-billed visit code NA
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARISOL GLORIA ALDANA LMHC
Counselor (Mental Health)
9007 WASHINGTON ST NE
ALBUQUERQUE, NM 87113
Bernalillo County (505) 209-3412
TRACEY TRIMBLE LMSW, LCSW
Social Worker (Clinical)
9007 WASHINGTON ST NE
ALBUQUERQUE, NM 87113
Bernalillo County (505) 209-3412
TESS AMY GAUDET LPCC
Counselor (Mental Health)
9007 WASHINGTON ST NE
ALBUQUERQUE, NM 87113
Bernalillo County (505) 209-3417
ANGELIQUE TENORIO
Social Worker (Clinical)
9007 WASHINGTON ST NE
ALBUQUERQUE, NM 87113
Bernalillo County (505) 209-3412
KAREN DURHAM LMHCA
Counselor (Mental Health)
9007 WASHINGTON ST NE
ALBUQUERQUE, NM 87113
Bernalillo County (505) 503-0273
ALISON MURPHY
Counselor (Professional)
9007 WASHINGTON ST NE
ALBUQUERQUE, NM 87113
Bernalillo County (505) 209-3412
AURORA FASNACHT LMHC
Counselor (Professional)
9007 WASHINGTON ST NE
ALBUQUERQUE, NM 87113
Bernalillo County (505) 209-3412
KATHERINE THOMPSON
Counselor (Professional)
9007 WASHINGTON ST NE
ALBUQUERQUE, NM 87113
Bernalillo County (505) 503-0272

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kennedy Haverland's NPI number?

The NPI number for Kennedy Haverland is 1053009464. It was assigned to this individual provider in the NPPES registry on April 25, 2023.

Where is Kennedy Haverland located?

Kennedy Haverland practices at 9007 Washington St NE, Albuquerque, NM 87113. The listed phone number is (505) 585-2048.

What is Kennedy Haverland's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kennedy Haverland enrolled in Medicare?

Yes. Kennedy Haverland is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kennedy Haverland's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kennedy Haverland reassigns Medicare benefits to Essential Mental Health, LLC (Albuquerque, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kennedy Haverland's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kennedy Haverland was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.