Individual provider · Type 1 NPI

Timothy Alan Kennedy, PhD, L.I.S.W.

Clinical Social Worker · Worthington, OH

NPI number 1790830610 Active

Practice location

6827 N High St, 121
Worthington, OH 43085-2517

Mailing address

9468 Cheshire Rd
Sunbury, OH 43074-9543

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI-492 (OH)

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 1790830610

Timothy Alan Kennedy, PhD, L.I.S.W.'s National Provider Identifier is 1790830610, issued on Jan 23, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Worthington, OH. The record was last updated on Jul 8, 2007.