Individual provider · Type 1 NPI

Kennidy Lynn Coburn, LLMSW

Clinical Social Worker · Owosso, MI

NPI number 1619443041 Active

Practice location

1555 Industrial Dr
Owosso, MI 48867-9775

Call (989) 723-6791 Map

Other practice locations

  • 790 Fuller Ave NE, Grand Rapids, MI 49503-1918 · (616) 336-3909

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6851122078 (MI)

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 1619443041

Kennidy Lynn Coburn, LLMSW's National Provider Identifier is 1619443041, issued on Oct 24, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Owosso, MI. The record was last updated on May 20, 2026.