Kennedy Herrmann & Associates LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34006146A Issued in IN

Legal business name

KENNEDY HERRMANN & ASSOCIATES LLC

Practice address

7863 Broadway Ste 236
Merrillville, IN 46410-5554

Phone

(219) 769-2141

Fax

(219) 769-2675

NPI assigned

Nov 30, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica L Kennedy Herrmann, LCSW, LCAC

Title

President

Phone

(219) 393-9033

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1720323819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10126",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464110126",
            "telephone_number": "219-769-2141",
            "fax_number": "219-769-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7863 BROADWAY STE 236",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105554",
            "telephone_number": "219-769-2141",
            "fax_number": "219-769-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY HERRMANN & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-30",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "KENNEDY HERRMANN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-393-9033",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, LCAC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006146A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BS",
            "identifier": "000000801843",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tabatha Kegley, BSW
• Keith M Ramsey Medical Corp
• Keith M Ramsey Medical Corp
• Michael Ryan Kelley, O.D.
• Elizabeth Keneson
• Jessica L Kennedy Herrmann, LCSW, LCAC
• George E Kennedy, P.T.
• Tenisha Kennedy
• Tamara Kenning
• Cailyn Kern

• Clinical Social Worker in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.