Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. RAISSA BETSKY KENNEDY LCSW
NPI 1679135198
Social Worker - Clinical in San Diego, CA

Q: What is Raissa Kennedy's NPI number?

The NPI number for Raissa Kennedy is 1679135198. It was assigned to this individual provider in the NPPES registry on July 4, 2019.

Q: What is Raissa 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 Raissa Kennedy was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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 July 04, 2019PECOS Enrolled

4550 KEARNY VILLA RD STE 116, SAN DIEGO, CA 92123(858) 279-1223 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 12, 2022, Apr 2, 2021, Jul 12, 2019 and 1 more (4 updates tracked since 2019).

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About Ms. Raissa Betsky Kennedy Lcsw NPPES

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

MS. RAISSA BETSKY KENNEDY LCSW (NPI 1679135198) is an individual clinical provider in San Diego, California, licensed in California (139239) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1679135198

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. RAISSA BETSKY KENNEDYCredential: LCSW

Location Address4550 KEARNY VILLA RD STE 116San Diego, CA 92123-1583

Mailing Address4550 Kearny Villa Rd Ste 116San Diego, CA 92123-1583

Phone(858) 279-1223

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 4, 2019

Last NPPES UpdateJune 24, 20264 updates tracked since enumeration

NPPES CertifiedJune 24, 2026

✔ NPI 1679135198 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 CA · 139239

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.

4550 KEARNY VILLA RD STE 116, San Diego, CA 92123

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Raissa Betsky Kennedy Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022572817

PECOS Enrollment IDI20260713002464

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 92123 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 $62.10 – $184.71

Typical copayment $0.00 (range $15.52 – $46.17)

Most-billed visit code NA

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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 14

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

MS. CARA ANN MCDOWELL MFT

Marriage & Family Therapist