KYLE MICHALE KENNEDY LCSW
NPI 1689027880
Social Worker - Clinical in East Petersburg, PA

Q: What is Kyle Kennedy's NPI number?

The NPI number for Kyle Kennedy is 1689027880. It was assigned to this individual provider in the NPPES registry on July 22, 2016.

Q: What is Kyle Kennedy's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: Is Kyle Kennedy enrolled in Medicare?

No. Kyle Kennedy has opted out of Medicare through April 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kyle Kennedy was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 July 22, 2016Opted out of Medicare · through Apr 22, 2028

1987 STATE ST, EAST PETERSBURG, PA 17520(717) 723-8040 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kyle Michale Kennedy Lcsw NPPES

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

KYLE MICHALE KENNEDY LCSW (NPI 1689027880) is an individual clinical provider in East Petersburg, Pennsylvania, licensed in Pennsylvania (CW027261) and active in the NPI registry since July 2016. He has opted out of Medicare through April 22, 2028.

NPPES Registry Identity

NPI1689027880

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameKYLE MICHALE KENNEDYCredential: LCSW

Location Address1987 STATE STEast Petersburg, PA 17520-1324

Mailing Address1987 State StEast Petersburg, PA 17520-1324 · (717) 723-8040

Phone(717) 723-8040

Sole ProprietorNo

Enumeration DateJuly 22, 2016

Last NPPES UpdateApril 22, 2026

NPPES CertifiedApril 22, 2026

✔ NPI 1689027880 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 PA · CW027261

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.

1987 STATE ST, East Petersburg, PA 17520

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kyle Michale Kennedy Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 22, 2026 through April 22, 2028.

Opt-Out Effective DateApril 22, 2026

Opt-Out In Effect ThroughApril 22, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 12

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

SHANNA HARVEY

Counselor (Mental Health)