Individual provider · Type 1 NPI

Jodi Michele Kennedy

Clinical Social Worker · Jackson Heights, NY

NPI number 1205134632 Active

Practice location

37-22 82nd St., Corona Elmhurst Guidance Center
Jackson Heights, NY 11732

Call (718) 779-1600 Map

Fax (718) 803-0895

Mailing address

2330 Astoria Blvd
Astoria, NY 11102-2941

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	None listed

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 1205134632

Jodi Michele Kennedy's National Provider Identifier is 1205134632, issued on Mar 9, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jackson Heights, NY. The record was last updated on Mar 9, 2011.