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SUSAN KLEIN KENNEDY
NPI 1902221484
Counselor - Addiction (Substance Use Disorder) in Madison, WI

Active since February 20, 2014
1015 GAMMON LN, MADISON, WI 53719(608) 417-8144(608) 271-3457 Get Directions Write a Review

NPPES record last updated: February 20, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Klein Kennedy NPPES

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

SUSAN KLEIN KENNEDY (NPI 1902221484) is an individual addiction (substance use disorder) provider in Madison, Wisconsin, licensed in Wisconsin (413-132) and active in the NPI registry since February 2014.

NPPES Registry Identity

NPI1902221484
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSUSAN KLEIN KENNEDY
Location Address1015 GAMMON LNMadison, WI 53719-2210
Mailing Address1015 Gammon LnMadison, WI 53719-2210 · (608) 417-8144 · Fax (608) 271-3457
Phone(608) 417-8144
Fax(608) 271-3457
Sole ProprietorNo
Enumeration DateFebruary 20, 2014
✔ NPI 1902221484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WI · 413-132
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 1195-121 (WI)
1015 GAMMON LN, Madison, WI 53719
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Other Providers at the Same Location NPPES 18

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

SAMANTHA M ROGERS LCSW
Social Worker (Clinical)
1015 GAMMON LN
MADISON, WI 53719
Dane County (608) 417-8158
LORI BRATTSET
Social Worker (Clinical)
1015 GAMMON LN
MADISON, WI 53719
Dane County (608) 417-8144
RACHEL ELLIS LCSW, SAC-IT
Social Worker
1015 GAMMON LN
MADISON, WI 53719
Dane County (608) 417-8162
KARL WILLIAM LOCHER LCSW
Social Worker (Clinical)
1015 GAMMON LN
MADISON, WI 53719
Dane County (608) 417-8144
PHILIP CHARLES CARAVELLO
Counselor
1015 GAMMON LN
MADISON, WI 53719
Dane County (608) 417-8144
SAMANTHA CUNNINGHAM LPC
Counselor (Professional)
1015 GAMMON LN
MADISON, WI 53719
Dane County (608) 417-8144
MRS. KARLA BULLOCK LCSW
Social Worker (Clinical)
1015 GAMMON LN
MADISON, WI 53719
Dane County (608) 417-8132
ZOE AMELIA TOWNSEND APSW, CSAC
Social Worker
1015 GAMMON LN
MADISON, WI 53719
Dane County (608) 417-8144

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 Susan Klein Kennedy's NPI number?

The NPI number for Susan Klein Kennedy is 1902221484. It was assigned to this individual provider in the NPPES registry on February 20, 2014.

Where is Susan Klein Kennedy located?

Susan Klein Kennedy practices at 1015 Gammon Ln, Madison, WI 53719. The listed phone number is (608) 417-8144.

What is Susan Klein Kennedy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Susan Klein Kennedy was last updated on February 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.