Individual provider · Type 1 NPI

Angelica Kennedy, LCSW

Clinical Social Worker · Flagstaff, AZ

NPI number 1932817640 Active

Practice location

624 N Humphreys St Ste 1
Flagstaff, AZ 86001-3070

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	LCSW-20819 (AZ)

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 1932817640

Angelica Kennedy, LCSW's National Provider Identifier is 1932817640, issued on Nov 10, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Flagstaff, AZ. The record was last updated on Nov 10, 2022.