ELIZABETH KENNEDY A LICENSED CLINICAL SOCIAL WORKER, A PROFESSIONAL CO
NPI 1891576690
Clinic/Center - Mental Health (Including Community Mental Health Center) in Santa Maria, CA

Active since October 09, 2023
1505 SHEPARD DR STE 204, SANTA MARIA, CA 93454(805) 765-2300(805) 944-1543 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth Kennedy A Licensed Clinical Social Worker, A Professional Co NPPES

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

ELIZABETH KENNEDY A LICENSED CLINICAL SOCIAL WORKER, A PROFESSIONAL CO (NPI 1891576690) is a healthcare organization registered as a mental health (including community mental health center) in Santa Maria, California and active in the NPI registry since October 2023. The organization lists Virgilia Elizabeth Kennedy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1891576690
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameELIZABETH KENNEDY A LICENSED CLINICAL SOCIAL WORKER, A PROFESSIONAL CO
Location Address1505 SHEPARD DR STE 204Santa Maria, CA 93454-7016
Mailing AddressPo Box 7842Santa Maria, CA 93456-7842 · (805) 878-1863 · Fax (805) 944-1543
Fax(805) 944-1543
Organization SubpartNo
Authorized OfficialVirgilia Elizabeth KennedyCeo · (805) 878-1863
Enumeration DateOctober 9, 2023
NPPES CertifiedOctober 9, 2023
NPI 1891576690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1505 SHEPARD DR STE 204, Santa Maria, CA 93454

Other Providers at the Same Location NPPES 3

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

Dietitian, Registered
1505 SHEPARD DR STE 204
SANTA MARIA, CA 93454
Dietitian, Registered
1505 SHEPARD DR STE 204
SANTA MARIA, CA 93454
Dermatology
1505 SHEPARD DR STE 204
SANTA MARIA, CA 93454

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 Elizabeth Kennedy A Licensed Clinical Social Worker, A Professional Co's NPI number?

The NPI number for Elizabeth Kennedy A Licensed Clinical Social Worker, A Professional Co is 1891576690. It was assigned to this organization in the NPPES registry on October 9, 2023.

Where is Elizabeth Kennedy A Licensed Clinical Social Worker, A Professional Co located?

Elizabeth Kennedy A Licensed Clinical Social Worker, A Professional Co is located at 1505 Shepard Dr Ste 204, Santa Maria, CA 93454. The listed phone number is (805) 765-2300.

What is Elizabeth Kennedy A Licensed Clinical Social Worker, A Professional Co's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Elizabeth Kennedy A Licensed Clinical Social Worker, A Professional Co was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.