Kennedy Jones

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C015746 Issued in NC

Practice address

510 Church St
Black Creek, NC 27813-9022

Phone

(252) 281-1718

NPI assigned

Jun 22, 2020

Last updated

May 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Feel Good Counseling, PLLC

  • Clinical Social Worker
  • Garner, NC
  • NPI 1932913662
  NPD
• Getting Ready Inc.

  • Community/Behavioral Health Agency
  • Black Creek, NC
  • NPI 1659596476
  NPD (past)

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1669098059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 CHURCH ST",
            "city": "BLACK CREEK",
            "state": "NC",
            "postal_code": "278139022",
            "telephone_number": "252-281-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 CHURCH ST",
            "city": "BLACK CREEK",
            "state": "NC",
            "postal_code": "278139022",
            "telephone_number": "252-281-1718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1822 E Nc Highway 54 Ste 300",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277133210",
            "country_code": "US",
            "telephone_number": "919-474-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7224 Cleveland School Rd",
            "address_purpose": "LOCATION",
            "city": "Garner",
            "state": "NC",
            "postal_code": "275298927",
            "country_code": "US",
            "telephone_number": "707-474-7033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "KENNEDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015746",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW1120745",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanaya Monay Clarke, MSW, LCSWA
• Felicia Elam
• Getting Ready Inc.
• Allyson Hunter Stumbaugh, LCSW-A, LCAS-A

• Clinical Social Worker in Black Creek, NC
• Providers in Black Creek, NC by specialty
• Clinical Social Worker in North Carolina

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

Verify at the official NPI Registry.