John R. Kennedy II, MSW, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1760 Issued in SC

Practice address

900 Saint Andrews Rd
Columbia, SC 29210-5816

Phone

(803) 731-4708

Fax

(803) 612-1206

NPI assigned

Dec 8, 2006

Last updated

Jul 20, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Columbia Counseling Center and Associates

  dba Columbia Counseling Center

  • Professional Counselor
  • Columbia, SC
  • NPI 1700625860

  Clinical

  NPD
• South Carolina Dept of Mental Health Accounting Office

  dba Midlands Crisis Stabilization Center

  • Community/Behavioral Health Agency
  • Columbia, SC
  • NPI 1083421994
  NPD (past)
• South Carolina Dept of Mental Health Accounting Office

  dba Lexington Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lexington, SC
  • NPI 1841374972
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1063571537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SAINT ANDREWS RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292105816",
            "telephone_number": "803-731-4708",
            "fax_number": "803-612-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SAINT ANDREWS RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292105816",
            "telephone_number": "803-731-4708",
            "fax_number": "803-612-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "JOHN",
        "middle_name": "R.",
        "name_suffix": "II",
        "credential": "MSW, LISW-CP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "1760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Frances Kennedy
• Carl Benjamin Kennedy, B.S.
• Delyn B Kennedy, RPH
• Faith Kennedy
• Jocelyn T Kennedy
• Langston T Kennedy, DPT, PT
• Latosha Kennedy
• Meredith Rebecca Kennedy, RN, IBCLC
• Miya Kennedy, RBT
• Richard McKinne Kennedy III, M.D.

• Clinical Social Worker in Columbia, SC
• Providers in Columbia, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.