Individual provider · Type 1 NPI

Kennedy Shuffett, LCSW

Clinical Social Worker · St. Louis, MO

NPI number 1265392138 Active

Practice location

12801 Flushing Meadows Dr Ste 100
St. Louis, MO 63131-1829

Mailing address

720 E Main St
Greenville, IL 62246-1919

Other practice locations

  • 720 E Main St, Greenville, IL 62246-1919 · (314) 492-8066

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.025735 (IL)

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…

3 other providers at this address

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About NPI 1265392138

Kennedy Shuffett, LCSW's National Provider Identifier is 1265392138, issued on Nov 13, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Louis, MO. The record was last updated on Nov 13, 2025.