Individual provider · Type 1 NPI

Raissa Betsky Kennedy, LCSW

Clinical Social Worker · San Diego, CA

NPI number 1679135198 Active

Practice location

4550 Kearny Villa Rd Ste 116
San Diego, CA 92123-1583

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X139239 (CA)

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 1679135198

Raissa Betsky Kennedy, LCSW's National Provider Identifier is 1679135198, issued on Jul 4, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Jun 24, 2026.