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

Q: What is Jodie Kennedy's NPI number?

The NPI number for Jodie Kennedy is 1083930705. It was assigned to this individual provider in the NPPES registry on April 20, 2010.

Q: What is Jodie Kennedy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jodie Kennedy was last updated on November 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

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: August 16, 2026.

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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

Phone(618) 327-1304

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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.

DR. MATTHEW ERIC DENIS PH.D.

Psychologist (Clinical)