Marjorie Kennedy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

68625 Perez Rd
Ste 11
Cathedral City, CA 92234-7250

Phone

(760) 773-6767

NPI assigned

Sep 15, 2010

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

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1477861102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5253 EL CERRITO DR",
            "address_2": "# 141",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68625 PEREZ RD",
            "address_2": "STE 11",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922347250",
            "telephone_number": "760-773-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "MARJORIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debbie W Katz
• Nancy Kavianian, NP
• Kaycies Electrolysis and Skin Care PC
• Kristopher A Keene, PA-C
• David Mark Kennedy, DDS MS
• Richard Allen Kilmer, CMT
• Dong Jin Kim, D.D.S.
• Joann Celeste Koepp, R.N.
• Kortmeyer Chiropractic Inc
• David E. Kortmeyer, D.C.

• Clinical Social Worker in Cathedral City, CA
• Providers in Cathedral City, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.