ELIZABETH KENNEDY (NPI# 1922112655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922112655 |
| Entity Type | Individual |
| Full Name | ELIZABETH KENNEDY |
| Credential | LCSW, CASAC |
| Practice Address |
99 Bradley Pl 4s Mineola NY 11501-3719 |
| Mailing Address |
99 Bradley Pl Apt. 4s Mineola NY 11501-3719 |
| Practice Telephone | 5163155210 |
| Mailing Telephone | 5163155210 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2014-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
066270-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427344126 | Elizabeth Paige Kennedy | Counselor | 5613 Duraleigh Rd Ste 161, Raleigh, NC 27612-2709 | 2011-06-22 |
| 1063733152 | Elizabeth Anne Kennedy | Counselor | 2822 St George Rd, Williston, VT 05495-7431 | 2010-06-12 |
| 1205158698 | Elizabeth V Kennedy | Pharmacist | 10101 8th Ave S, Apt. #f49, Seattle, WA 98168-5504 | 2010-02-25 |
| 1124167861 | Elizabeth Ellen Kennedy | Nurse Practitioner | 75 Fenwood Rd., Massachusetts Mental Health Center, Boston, MA 02115 | 2007-02-06 |
| 1447232483 | Elizabeth A Kennedy | Audiologist | 121 Clements Bridge Road, Barrington, NJ 08007 | 2005-11-16 |
| 1508417478 | Elizabeth Chantell Kennedy | Case Manager/Care Coordinator | 111 S Treaty Rd, Miami, OK 74354-5327 | 2019-09-23 |
| 1952950024 | Elizabeth Renee Kennedy | Marriage & Family Therapist | 71338 Highway 21, Covington, LA 70433-7162 | 2019-09-10 |
| 1356901730 | Elizabeth Kennedy | Social Worker | 107 Cranes Roost Ct, Elizabethtown, KY 42701-3650 | 2019-06-18 |
| 1073097721 | Elizabeth Duck Kennedy | Counselor | 6363 Poplar Ave Ste 404, Memphis, TN 38119-4831 | 2018-09-19 |
| 1770083727 | Elizabeth Kennedy | Behavioral Analyst | 1413 Tech Blvd Ste 122, Tampa, FL 33619-7822 | 2018-02-16 |
| Street Address |
99 BRADLEY PL 4S |
| City | MINEOLA |
| State | NY |
| Zip Code | 11501-3719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500350 | Steve Abraham Simon | Student in an Organized Health Care Education/Training Program | 222 Station Plaza, Suite 509, Mineola, NY 11501 | 2020-05-18 |
| 1407478167 | Frederick Milton Bosoy | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, Ny 11501, Mineola, NY 11501 | 2020-05-15 |
| 1982226130 | Katelyn Anne Fowler | Counselor | [email protected], 410 East Jericho Tpke, Mineola, NY 11501 | 2020-05-11 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1518500032 | Irina Victoria Kushnareva | Social Worker | 126 Saville Rd, Mineola, NY 11501 | 2019-10-28 |
| 1861046336 | Milagros M Matias | Case Manager/Care Coordinator | 39 E. Jericho Turnpike, Mineola, NY 11501 | 2019-08-01 |
| 1154974244 | Bahram Dabiri | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N., Suite 620 Mineola, Mineola, NY 11501 | 2019-07-18 |
| 1972168748 | Nabeel A. Arain | Physician Assistant | 251 1st St., Mineola, NY 11501 | 2019-05-07 |
| 1598328940 | Ramsha Jabbar | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 305, Mineola, NY 11501 | 2019-04-20 |
| 1235628850 | Valentyna Erstenyuk | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N, Suite 611, Mineola, NY 11501 | 2018-05-09 |
| Find all providers in zip 11501 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538594932 | Danilo Antonio Ortiz | Social Worker | 31 Geranium Ave, Mineola, NY 11501-4630 | 2013-09-05 |
| 1831439629 | Christine Maher | Social Worker | 319 Willis Ave Fl 2, Mineola, NY 11501-1510 | 2013-02-15 |
| 1518210202 | Patricia Rykert | Social Worker | 222 Station Plz N Ste 350a, Mineola, NY 11501-3814 | 2012-10-18 |
| 1194010132 | Stephen James Deorio | Social Worker | 101 Lincoln Ave Apt 4m, Mineola, NY 11501-2821 | 2011-06-17 |
| 1144464645 | Florence Annette Levine | Social Worker | 190 Mineola Blvd Apt 4p, Mineola, NY 11501-2534 | 2009-04-28 |
| 1063692838 | Mary Elizabeth Dennehy | Social Worker | 320 Buchanan Ave, Mineola, NY 11501-1342 | 2007-11-09 |
| 1760662704 | Loretta Mary Hartley-bangs | Social Worker | 366 Jericho Tpke, Mineola, NY 11501-1612 | 2007-11-07 |
| 1790972230 | Mary E Rzeszut | Social Worker | 251 Beebe Road, Mineola, NY 11501 | 2007-09-28 |
| 1821127465 | Susan Joy Casey | Social Worker | 1527 Franklin Avenue, Suite 204, Mineola, NY 11501 | 2007-03-02 |
| 1083775092 | Paula Iris Goldstein | Social Worker | 3 Birchwood Ct, 4e, Mineola, NY 11501-4511 | 2006-12-13 |
| Find all providers in MINEOLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.