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KENNEDY SHUFFETT LCSW
NPI 1265392138
Social Worker - Clinical in Saint Louis, MO

Active since November 13, 2025
12801 FLUSHING MEADOWS DR STE 100, SAINT LOUIS, MO 63131(314) 994-9344 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kennedy Shuffett Lcsw NPPES

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

KENNEDY SHUFFETT LCSW (NPI 1265392138) is an individual clinical provider in Saint Louis, Missouri, licensed in Illinois (149.025735) and active in the NPI registry since November 2025. She maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1265392138
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKENNEDY SHUFFETTCredential: LCSW
Location Address12801 FLUSHING MEADOWS DR STE 100Saint Louis, MO 63131-1829
Mailing Address720 E Main StGreenville, IL 62246-1919
Phone(314) 994-9344
Sole ProprietorNo
Enumeration DateNovember 13, 2025
NPPES CertifiedNovember 13, 2025
✔ NPI 1265392138 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 IL · 149.025735
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.
12801 FLUSHING MEADOWS DR STE 100, Saint Louis, MO 63131
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Secondary Practice Location 1

Location 1720 E Main StGreenville, IL 62246-1919 · Phone (314) 492-8066

Other Providers at the Same Location NPPES 3

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

MR. CALEB ANDREW FORD PLPC
Counselor (Professional)
12801 FLUSHING MEADOWS DR STE 100
SAINT LOUIS, MO 63131
St. Louis County (314) 994-9344
MRS. ANNA RODRIGUEZ MA, PLPC
Counselor
12801 FLUSHING MEADOWS DR STE 100
SAINT LOUIS, MO 63131
St. Louis County (314) 594-7530
REBEKAH MERCER MA, LPC
Counselor (Professional)
12801 FLUSHING MEADOWS DR STE 100
SAINT LOUIS, MO 63131
St. Louis County (314) 994-9344

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 Shuffett's NPI number?

The NPI number for Kennedy Shuffett is 1265392138. It was assigned to this individual provider in the NPPES registry on November 13, 2025.

Where is Kennedy Shuffett located?

Kennedy Shuffett practices at 12801 Flushing Meadows Dr Ste 100, Saint Louis, MO 63131. The listed phone number is (314) 994-9344.

What is Kennedy Shuffett's specialty?

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

When was this NPI record last updated?

The NPPES record for Kennedy Shuffett was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.