MR. CHARLES T. KENNEDY JR. LMSW
NPI 1467824425
Social Worker in Flint, MI

Q: What is Charles Kennedy's NPI number?

The NPI number for Charles Kennedy is 1467824425. It was assigned to this individual provider in the NPPES registry on October 29, 2015.

Q: What is Charles Kennedy's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Kennedy was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since October 29, 2015PECOS EnrolledAccepts Medicare Assignment

2425 S LINDEN RD STE D105, FLINT, MI 48532(810) 252-7994 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 13, 2026, Sep 10, 2019 (2 updates tracked since 2019).

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About Mr. Charles T. Kennedy Jr. Lmsw NPPES

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

MR. CHARLES T. KENNEDY JR. LMSW (NPI 1467824425) is an individual social worker in Flint, Michigan, licensed in Michigan (6801105455) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1467824425

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameMR. CHARLES T. KENNEDY JR.Credential: LMSW

Location Address2425 S LINDEN RD STE D105Flint, MI 48532-5457

Mailing Address6120 Sierra PassFlint, MI 48532-2134 · (810) 252-7994

Phone(810) 252-7994

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateOctober 29, 2015

Last NPPES UpdateMarch 13, 20262 updates tracked since enumeration

NPPES CertifiedMarch 13, 2026

✔ NPI 1467824425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Licenses✔ Licensed in MI · 6801105455✔ Licensed in MI · 6801098365

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

2425 S LINDEN RD STE D105, Flint, MI 48532

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Charles T. Kennedy Jr. 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 ID5294064432

PECOS Enrollment IDI20190912002407

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.

Medicare Billing Reassignments

Medicare enrollment records show Charles Kennedy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifes Changes Center For Wellness

Same address

Clinic/Center

2425 S LINDEN RD STE D105
Flint, MI 48532

Reassigned Medicare billing, Michigan enrollment

NPI 1558096701 (810) 252-7994

Delta Family Clinic South P.C

1.1 mi

Adult Mental Health

1309 S LINDEN RD STE C
Flint, MI 48532

Reassigned Medicare billing, Michigan enrollment
Medicare enrollment name: Delta Family Clinic South PC
11 clinicians in this Medicare group

NPI 1255509832 (810) 630-1152

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

LIFES CHANGES CENTER FOR WELLNESS

Clinic/Center

2425 S LINDEN RD STE D105
FLINT, MI 48532

Genesee County (810) 252-7994

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 Charles Kennedy's NPI number?

The NPI number for Charles Kennedy is 1467824425. It was assigned to this individual provider in the NPPES registry on October 29, 2015.

Where is Charles Kennedy located?

Charles Kennedy practices at 2425 S Linden Rd Ste D105, Flint, MI 48532. The listed phone number is (810) 252-7994.

What is Charles Kennedy's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Charles Kennedy enrolled in Medicare?

Yes. Charles Kennedy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Charles Kennedy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Kennedy reassigns Medicare benefits to 2 organizations: Lifes Changes Center For Wellness (Flint, MI) and Delta Family Clinic South P.C (Flint, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Kennedy accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Charles Kennedy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Kennedy was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.