Wesley Kennedy, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150108212 Issued in IL

Practice address

734 Pointe Dr
Crystal Lake, IL 60014-8023

Phone

(815) 522-1719

NPI assigned

Sep 8, 2022

Last updated

Sep 8, 2022By 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)

Not enrolled

State licenses

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.

• Roan Solutions LLC

  • Clinical Social Worker
  • Elgin, IL
  • NPI 1639761638
  NPD

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1215658083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 POINTE DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148023",
            "telephone_number": "815-522-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 POINTE DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148023",
            "telephone_number": "815-522-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "WESLEY",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150108212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Kelley
• Lindsay Amanda Kellner, LCSW
• Danielle Irene Kelly, NP
• Rebekah C Kelly, RD
• Kendal Physical Therapy LLC
• Kenneth Gates and Associates
• Amanda Kenney
• Dea Kentchadze
• Laura Eve Kerber, MSW
• Robert Thomas Kessler, M.D.

• Social Worker in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.