Lorraine Kennedy, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00489400 Issued in NJ

Practice address

316 Broad St
Red Bank, NJ 07701-2154

Phone

(732) 219-8640

Fax

(732) 219-8665

NPI assigned

Feb 12, 2008

Last updated

Feb 12, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1023286135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 BROAD ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012154",
            "telephone_number": "732-219-8640",
            "fax_number": "732-219-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 BROAD ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012154",
            "telephone_number": "732-219-8640",
            "fax_number": "732-219-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "LORRAINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00489400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Wilder-Willis, PHD LLC
• Irene A Kelly, APN
• Jamie Marie Kelly, BCBA
• Lorien Kelly, D.O.
• Thomas M Kelly, D.C.
• Sean Kenney
• Melanie Ann Kerekes, NP
• Jay Kern, M.D.
• Kristen Kerrigan, CCC-SLP
• Jessica Kethley, NP-C

• Clinical Social Worker in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.