Natasha C Kennedy, LCSW, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12668 Issued in SC

Practice address

147 Wappoo Creek Dr Ste 602
Charleston, SC 29412-2157

Phone

(843) 268-4848

Fax

(843) 305-3776

NPI assigned

Jul 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

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.

• NCK, LLC

  • Clinical Social Worker
  • Johns Island, SC
  • NPI 1144793829
  NPD Authorized official

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737763200000",
    "number": "1679772289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 WAPPOO CREEK DR STE 602",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122157",
            "telephone_number": "843-268-4848",
            "fax_number": "843-305-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 WAPPOO CREEK DR STE 602",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122157",
            "telephone_number": "843-268-4848",
            "fax_number": "843-305-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "NATASHA",
        "middle_name": "C",
        "name_prefix": "Miss",
        "credential": "LCSW, LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005997",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006636",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015982",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "095610",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "12668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payton Kendsersky
• Amanda Kennedy-Bruner, LPC-A
• Bethany Ann Kennedy, M.D.
• Imari Taylor Geneice Kennedy, COTA/L
• Melissa Kennedy, M.D.
• Rachel Nicole Kennedy, FNP
• Shannon Kennedy, MD
• Traci Kennedy, NP
• Hunter Matthew Kennis, DMD
• Alexander R Kent, M.D.

• Clinical Social Worker in Charleston, SC
• Providers in Charleston, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2025; 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.