Individual provider · Type 1 NPI

Kenneth Dewayne Perry

Clinical Social Worker · Jackson, TN

NPI number 1922770528 Active

Practice location

112 N Liberty St
Jackson, TN 38301-6200

Call (731) 736-4400 Map

Mailing address

5905 Airways Blvd
Southaven, MS 38671-1836

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	8145 (TN)

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 1922770528

Kenneth Dewayne Perry's National Provider Identifier is 1922770528, issued on Oct 1, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jackson, TN. The record was last updated on Jul 1, 2026.