JODIE KENNEDY L.C.S.W.
NPI 1083930705
Social Worker - Clinical in Carbondale, IL

Active since April 20, 2010PECOS EnrolledAccepts Medicare Assignment
3412 S ILLINOIS AVE, CARBONDALE, IL 62903(618) 327-1304(618) 457-8844 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jodie Kennedy L.c.s.w. NPPES

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

JODIE KENNEDY L.C.S.W. (NPI 1083930705) is an individual clinical provider in Carbondale, Illinois, licensed in Illinois (149.014109) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1083930705
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJODIE KENNEDYCredential: L.C.S.W.
Location Address3412 S ILLINOIS AVECarbondale, IL 62903-8362
Mailing Address3412 S Illinois AveCarbondale, IL 62903-8362 · (618) 327-1304 · Fax (618) 457-8844
Fax(618) 457-8844
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateApril 20, 2010
Last NPPES UpdateNovember 15, 2023
NPPES CertifiedNovember 15, 2023
NPI 1083930705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IL · 149.014109
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.

Also ListedCounselorTaxonomy 101Y00000X · License 149-014109 (IL)
3412 S ILLINOIS AVE, Carbondale, IL 62903

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jodie Kennedy L.c.s.w. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698958593
PECOS Enrollment IDI20110331000080
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62903 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 $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 8

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

Psychologist (Clinical)
3412 S ILLINOIS AVE
CARBONDALE, IL 62903
Psychologist (Clinical Child & Adolescent)
3412 S ILLINOIS AVE
CARBONDALE, IL 62903
Psychologist (Clinical Child & Adolescent)
3412 S ILLINOIS AVE
CARBONDALE, IL 62903
Psychologist (Clinical Child & Adolescent)
3412 S ILLINOIS AVE
CARBONDALE, IL 62903
Clinic/Center (Adolescent and Children Mental Health)
3412 S ILLINOIS AVE
CARBONDALE, IL 62903
Psychologist (Clinical)
3412 S ILLINOIS AVE
CARBONDALE, IL 62903
Psychologist (Clinical)
3412 S ILLINOIS AVE
CARBONDALE, IL 62903
Psychologist (Clinical)
3412 S ILLINOIS AVE
CARBONDALE, IL 62903

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083930705, enumerated as an "individual" on April 20, 2010.

The provider is located at 3412 S ILLINOIS AVE CARBONDALE, IL 62903 and the phone number is (618) 327-1304.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.