Kennedy Jordan Straitiff, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW141208 Issued in PA

Practice address

505 Hunter Hwy Ste 2
Tunkhannock, PA 18657-8064

Phone

(570) 301-2243

Fax

(570) 836-0660

NPI assigned

Feb 26, 2024

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

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 and National Provider Directory roles.

• Amy M Clark LCSW & Associates LLC

  • Clinical Social Worker
  • Tunkhannock, PA
  • NPI 1760853774
  NPD
• Change of Heart Counseling and Consultation Services, Inc

  • Clinical Social Worker
  • Tunkhannock, PA
  • NPI 1619468097
  NPD

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1396501565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 HUNTER HWY STE 2",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186578064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 HUNTER HWY STE 2",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186578064",
            "telephone_number": "570-301-2243",
            "fax_number": "570-836-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAITIFF",
        "first_name": "KENNEDY",
        "middle_name": "JORDAN",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW141208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Michael'S School
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• Samantha Stare, PTA
• Angela N Stone
• Cheryle A Stone, MD
• Militza E Suarez-Favetta, M.D.
• Summit Surgical, PC
• Charles L Swisher, M.D.
• The Burke Center, Inc.
• The Meadows at Tunkhannock for Nursing and Rehabilitation LLC

• Social Worker in Tunkhannock, PA
• Providers in Tunkhannock, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.