KENNIDY LYNN COBURN LLMSW
NPI 1619443041
Social Worker - Clinical in Owosso, MI

Q: What is Kennidy Coburn's NPI number?

The NPI number for Kennidy Coburn is 1619443041. It was assigned to this individual provider in the NPPES registry on October 24, 2018.

Q: What is Kennidy Coburn'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 Kennidy Coburn was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 24, 2018

1555 INDUSTRIAL DR, OWOSSO, MI 48867(989) 723-6791 Get Directions Write a Review

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

Record update history: May 20, 2026, Jul 23, 2024, Oct 16, 2019 and 1 more (4 updates tracked since 2018).

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About Kennidy Lynn Coburn Llmsw NPPES

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

KENNIDY LYNN COBURN LLMSW (NPI 1619443041) is an individual clinical provider in Owosso, Michigan, licensed in Michigan (6851122078) and active in the NPI registry since October 2018. She maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1619443041

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKENNIDY LYNN COBURNCredential: LLMSW

Location Address1555 INDUSTRIAL DROwosso, MI 48867-9775

Mailing Address1555 Industrial DrOwosso, MI 48867-9775

Phone(989) 723-6791

Sole ProprietorNo

Enumeration DateOctober 24, 2018

Last NPPES UpdateMay 20, 20264 updates tracked since enumeration

NPPES CertifiedMay 20, 2026

✔ NPI 1619443041 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 MI · 6851122078

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.

1555 INDUSTRIAL DR, Owosso, MI 48867

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Secondary Practice Location 1

Location 1790 Fuller Ave NEGrand Rapids, MI 49503-1918 · Phone (616) 336-3909 · Fax (616) 336-8830

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.

MR. GEORGE GARCIA MALLP

Psychologist (Clinical)