Individual provider · Type 1 NPI

Mia Kennedy

Clinical Social Worker · Bethany, OK

NPI number 1356104137 Active

Practice location

7908 NW 23rd St
Bethany, OK 73008-4950

Call (405) 440-1006 Map

Mailing address

10613 Longview Dr
Oklahoma City, OK 73162-4034

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X7689 (OK)

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 1356104137

Mia Kennedy's National Provider Identifier is 1356104137, issued on Feb 5, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bethany, OK. The record was last updated on Feb 5, 2024.