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DEARLO KENNEDY CLINICAL DIRECTOR
NPI 1407449028
Counselor - Addiction (Substance Use Disorder) in Philadelphia, PA

Active since February 15, 2021
100 S BROAD ST STE 2230, PHILADELPHIA, PA 19110(267) 704-9669(267) 541-2658 Get Directions Write a Review

NPPES record last updated: February 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dearlo Kennedy Clinical Director NPPES

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

DEARLO KENNEDY CLINICAL DIRECTOR (NPI 1407449028) is an individual addiction (substance use disorder) provider in Philadelphia, Pennsylvania and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1407449028
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameDEARLO KENNEDYCredential: CLINICAL DIRECTOR
Location Address100 S BROAD ST STE 2230Philadelphia, PA 19110-1021
Mailing Address100 S Broad St Ste 2230Philadelphia, PA 19110-1021 · (267) 704-9669
Phone(267) 704-9669
Fax(267) 541-2658
Sole ProprietorNo
Enumeration DateFebruary 15, 2021
NPPES CertifiedFebruary 15, 2021
✔ NPI 1407449028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
100 S BROAD ST STE 2230, Philadelphia, PA 19110
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Other Providers at the Same Location NPPES 4

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

AWJW1 LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
100 S BROAD ST STE 2230
PHILADELPHIA, PA 19110
Philadelphia County (484) 965-9529
DR. ELEAZAR C MORRIS M.D.
Anesthesiology
100 S BROAD ST STE 2230
PHILADELPHIA, PA 19110
Philadelphia County (267) 704-9669
SOBRIETY NOW LLC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
100 S BROAD ST STE 2230
PHILADELPHIA, PA 19110
Philadelphia County (267) 704-9669
KERRY FITZPATRICK LSW
Counselor (Addiction (Substance Use Disorder))
100 S BROAD ST STE 2230
PHILADELPHIA, PA 19110
Philadelphia County (267) 704-9669

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 Dearlo Kennedy's NPI number?

The NPI number for Dearlo Kennedy is 1407449028. It was assigned to this individual provider in the NPPES registry on February 15, 2021.

Where is Dearlo Kennedy located?

Dearlo Kennedy practices at 100 S Broad St Ste 2230, Philadelphia, PA 19110. The listed phone number is (267) 704-9669.

What is Dearlo Kennedy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Dearlo Kennedy was last updated on February 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.