MS. JUDITH ELLEN KENNEDY LMSW
NPI 1407455686
Social Worker - Clinical in Auburn, NY

Q: What is Judith Kennedy's NPI number?

The NPI number for Judith Kennedy is 1407455686. It was assigned to this individual provider in the NPPES registry on October 20, 2020.

Q: What is Judith 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 Judith Kennedy was last updated on October 20, 2020. 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.

Active since October 20, 2020PECOS EnrolledAccepts Medicare Assignment

17 E GENESEE ST STE 1, AUBURN, NY 13021(315) 253-9795(315) 253-3255 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Judith Ellen Kennedy Lmsw NPPES

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

MS. JUDITH ELLEN KENNEDY LMSW (NPI 1407455686) is an individual clinical provider in Auburn, New York, licensed in New York (110706) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1407455686

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. JUDITH ELLEN KENNEDYCredential: LMSW

Location Address17 E GENESEE ST STE 1Auburn, NY 13021-4068

Mailing Address17 E Genesee St Ste 1Auburn, NY 13021-4068 · (315) 253-9795 · Fax (315) 253-3255

Phone(315) 253-9795

Fax(315) 253-3255

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 20, 2020

NPPES CertifiedOctober 20, 2020

✔ NPI 1407455686 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 NY · 110706

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.

17 E GENESEE ST STE 1, Auburn, NY 13021

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Other Identifiers 2

Medicaid1041C0700XNY

Other1041C0700XNM · Social Worker Clinical

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

Ms. Judith Ellen Kennedy Lmsw 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 ID7113447269

PECOS Enrollment IDI20250910001917

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 13021 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 $54.87 – $166.88

Typical copayment $0.00 (range $13.71 – $41.72)

Most-billed visit code NA

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

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 20

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

MS. BRANDI DANIELLE MACK MA-MFT, LMFT

Marriage & Family Therapist