KENNEDY PURCEY
NPI 1174455059
Social Worker - Clinical in Jacksonville, FL

Active since June 02, 2026
476 RIVERSIDE AVE, JACKSONVILLE, FL 32202(904) 335-8631(904) 265-6831 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kennedy Purcey NPPES

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

KENNEDY PURCEY (NPI 1174455059) is an individual clinical provider in Jacksonville, Florida, licensed in Florida (ISW21627) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1174455059
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKENNEDY PURCEY
Location Address476 RIVERSIDE AVEJacksonville, FL 32202-4912
Mailing Address476 Riverside AveJacksonville, FL 32202-4912 · (904) 335-8631 · Fax (904) 265-6831
Fax(904) 265-6831
Sole ProprietorYes
Enumeration DateJune 2, 2026
NPPES CertifiedJune 2, 2026
NPI 1174455059 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 FL · ISW21627
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.

476 RIVERSIDE AVE, Jacksonville, FL 32202

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

Non-emergency Medical Transport (VAN)
476 RIVERSIDE AVE
JACKSONVILLE, FL 32202
Clinic/Center (Sleep Disorder Diagnostic)
476 RIVERSIDE AVE
JACKSONVILLE, FL 32202
Homemaker
476 RIVERSIDE AVE
JACKSONVILLE, FL 32202
Behavior Analyst
476 RIVERSIDE AVE
JACKSONVILLE, FL 32202
Behavior Analyst
476 RIVERSIDE AVE
JACKSONVILLE, FL 32202
Psychologist (Clinical)
476 RIVERSIDE AVE
JACKSONVILLE, FL 32202
Psychologist (Clinical)
476 RIVERSIDE AVE
JACKSONVILLE, FL 32202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174455059, enumerated as an "individual" on June 02, 2026.

The provider is located at 476 RIVERSIDE AVE JACKSONVILLE, FL 32202 and the phone number is (904) 335-8631.

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