Susan Lillia Kennedy, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

35 Market St
Bridgewell 2ND Floor
Lowell, MA 01852-1805

Phone

(978) 459-0389

Fax

(978) 459-7642

NPI assigned

Mar 6, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Susan Kennedy LLC

  • Community/Behavioral Health Agency
  • Canterbury, NH
  • NPI 1235338492
  NPD (past) Authorized official
• Bridgewell, Inc

  • Community/Behavioral Health Agency
  • Lowell, MA
  • NPI 1033262860
  NPD (past)
• Capital Region Health Ventures Corporation

  • Women's Health Nurse Practitioner
  • Concord, NH
  • NPI 1043390776
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669501375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 MARKET ST",
            "address_2": "BRIDGEWELL 2ND FLOOR",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521805",
            "telephone_number": "978-459-0389",
            "fax_number": "978-459-7642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MARKET ST",
            "address_2": "BRIDGEWELL 2ND FLOOR",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521805",
            "telephone_number": "978-459-0389",
            "fax_number": "978-459-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "SUSAN",
        "middle_name": "LILLIA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Gay Kellner, LMHC
• Kimberly Ann Kelly
• Sharon Kempinski, LCSW
• Elizabeth Ellen Kenerson, RN
• Claire M'Lynn Lundy Kennedy, BCBA
• Taylor Anne Kennedy
• Marlene Helen Kenney, LCSW
• Kaleigh Kent, B.S.
• Chetra A Keo, D.C.
• Linda K Keo

• Clinical Social Worker in Lowell, MA
• Providers in Lowell, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.