Active NPI
Kennedy Ann Harmon
- Clinical Social Worker
- Tacoma, WA
National Provider Identifier
1417875519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SWIA.SC.70150651
- Practice address
- 9600 Veterans Dr SW
Tacoma, WA 98493-0003 - Phone
- (253) 582-8440
- NPI assigned
- Jul 7, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SWIA.SC.70150651 | WA | Primary |
Addresses
Primary practice location
9600 Veterans Dr SW
Tacoma, WA 98493-0003
Mailing address
4302A Birch St SW
McChord Afb, WA 98439-1404
Phone (775) 219-6282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1417875519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4302A BIRCH ST SW",
"city": "MCCHORD AFB",
"state": "WA",
"postal_code": "984391404",
"telephone_number": "775-219-6282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 VETERANS DR SW",
"city": "TACOMA",
"state": "WA",
"postal_code": "984930003",
"telephone_number": "253-582-8440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARMON",
"first_name": "KENNEDY",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-07-07",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "SWIA.SC.70150651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.