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CHARLES A KENNEDY LCSW
NPI 1902981624
Social Worker - Clinical in Phoenix, AZ

Active since October 25, 2006
4120 N 20TH ST STE B, PHOENIX, AZ 85016(602) 284-9343(602) 651-1043 Get Directions Write a Review

NPPES record last updated: August 11, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles A Kennedy Lcsw NPPES

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

CHARLES A KENNEDY LCSW (NPI 1902981624) is an individual clinical provider in Phoenix, Arizona, licensed in Arizona (LCSW-12461) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1902981624
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameCHARLES A KENNEDYCredential: LCSW
Location Address4120 N 20TH ST STE BPhoenix, AZ 85016-6022
Mailing Address3104 E Camelback Rd # 721Phoenix, AZ 85016-4502 · (602) 284-9343 · Fax (602) 651-1043
Phone(602) 284-9343
Fax(602) 651-1043
Sole ProprietorYes
Enumeration DateOctober 25, 2006
Last NPPES UpdateAugust 11, 2010
✔ NPI 1902981624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in AZ · LCSW-12461✔ Licensed in WI · 6962-123
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.
4120 N 20TH ST STE B, Phoenix, AZ 85016
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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 Charles Kennedy's NPI number?

The NPI number for Charles Kennedy is 1902981624. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Charles Kennedy located?

Charles Kennedy practices at 4120 N 20th St Ste B, Phoenix, AZ 85016. The listed phone number is (602) 284-9343.

What is Charles Kennedy's specialty?

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

When was this NPI record last updated?

The NPPES record for Charles Kennedy was last updated on August 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.