KATHLEEN KENNEDY LSW NPI 1841658358

NPI Information

  • NPI: 1841658358
  • Provider Name: KATHLEEN KENNEDY, LSW
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 38882 MENTOR AVE
    WILLOUGHBY, OH
    ZIP 44094
  • Phone: (440) 953-9999

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NPI Details

Kathleen Kennedy, LSW is a mental health counselor in Willoughby, OH. Kathleen Kennedy, LSW NPI is 1841658358. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

38882 MENTOR AVE
WILLOUGHBY, OH
ZIP 44094-875
Phone: (440) 953-9999

The NPI 1841658358 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/29/2016 and was last updated on 9/13/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthS.1600057OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10279132MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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