Deborah Kennedy-Kuiper, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801097728 Issued in MI

Practice address

1971 E Beltline Ave NE Ste 204
Grand Rapids, MI 49525-7064

Phone

(800) 600-4096

NPI assigned

Aug 25, 2017

Last updated

Aug 25, 2017By the provider in NPPES

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)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 139 Education, LLC.

  dba Neurocore

  • Psychologist
  • Grandville, MI
  • NPI 1013294628
  NPD (past)

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503619200000",
    "number": "1740707272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MONROE AVE NW STE 300",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032212",
            "telephone_number": "616-328-6600",
            "fax_number": "866-606-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 E BELTLINE AVE NE STE 204",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257064",
            "telephone_number": "800-600-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY-KUIPER",
        "first_name": "DEBORAH",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2017-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801097728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Abigail Kendall
• Kenyon S Kendall, D.O.
• Ross Kendall, MD
• Alexis Kendrick
• Dawn K Kennedy Murray
• Amber Christine Kennedy
• Anna Rose Kennedy I, N/A
• Brenna Kennedy
• Dana Rose Kennedy
• Jennifer Kennedy, D.O.

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; 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.