Virginia Kennedy, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904009205 Issued in VA

Practice address

165 Peppers Ferry Rd
Wytheville, VA 24382-2070

Phone

(276) 223-5441

Fax

(276) 223-5454

NPI assigned

Oct 29, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1446076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446076800000",
    "number": "1316319304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 PEPPERS FERRY RD",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822070",
            "telephone_number": "276-223-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 PEPPERS FERRY RD",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822070",
            "telephone_number": "276-223-5441",
            "fax_number": "276-223-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "VIRGINIA",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSE",
            "identifier": "0904009205",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashleigh D. Justus, LICENSED PHYSICAL TH
• K -VA -T Food Stores Inc
• Keene Chiropractic LLC
• Billie Carol Keene, CERTIFIED OCCUPATION
• Dekota Kelley
• Kenneth M. McIntyre MD PC
• Deborah Michelle Kesling, LPN
• William Tommy Kilgore, M.D.
• Chase King, DO
• Meredith Lee King

• Clinical Social Worker in Wytheville, VA
• Providers in Wytheville, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.