EBONY NICOLE KENNEDY MASTERED LEVEL
NPI 1831795764
Case Manager/Care Coordinator in Lake Charles, LA

Q: What is Ebony Kennedy's NPI number?

The NPI number for Ebony Kennedy is 1831795764. It was assigned to this individual provider in the NPPES registry on December 7, 2020.

Q: What is Ebony Kennedy's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Ebony Kennedy was last updated on December 7, 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 December 07, 2020

1639 RYAN ST, LAKE CHARLES, LA 70601(985) 360-6199(337) 602-6392 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Ebony Nicole Kennedy Mastered Level NPPES

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

EBONY NICOLE KENNEDY MASTERED LEVEL (NPI 1831795764) is an individual case manager/care coordinator provider in Lake Charles, Louisiana and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1831795764

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameEBONY NICOLE KENNEDYCredential: MASTERED LEVEL

Location Address1639 RYAN STLake Charles, LA 70601-5948

Mailing Address1639 Ryan StLake Charles, LA 70601-5948 · (985) 360-6199 · Fax (337) 602-6392

Phone(985) 360-6199

Fax(337) 602-6392

Sole ProprietorYes

Enumeration DateDecember 7, 2020

NPPES CertifiedDecember 7, 2020

✔ NPI 1831795764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

1639 RYAN ST, Lake Charles, LA 70601

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Other Identifiers 1

MedicaidK530-214-84-877-0FL

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.

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