Individual provider · Type 1 NPI

Kennedy Purcey

Clinical Social Worker · Jacksonville, FL

NPI number 1174455059 Active

Practice location

476 Riverside Ave
Jacksonville, FL 32202-4912

Call (904) 335-8631 Map

Fax (904) 265-6831

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XISW21627 (FL)

Clinical Social Worker: 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 interpers…

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About NPI 1174455059

Kennedy Purcey's National Provider Identifier is 1174455059, issued on Jun 2, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jacksonville, FL. The record was last updated on Jun 2, 2026.