Taylor Kennedy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

60707135 Issued in WA

Practice address

104 S Freya St. Suite 225B
Turquoise Flag Building,
Spokane, WA 99202

Phone

(509) 929-0511

NPI assigned

Jun 6, 2017

Sex

Female

Sole proprietor

Yes

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

Opted out of Medicare

Yes, effective Jan 29, 2024 through Jan 29, 2028

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.

• Restoring Roots Therapy PLLC

  • Clinical Social Worker
  • Spokane, WA
  • NPI 1326919739
  NPD Authorized official
• Taylor Kennedy MSW

  • Clinical Social Worker
  • Spokane, WA
  • NPI 1942733456
  NPD (past) Authorized official
• Grassroots Therapy Group LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Spokane, WA
  • NPI 1215379086

  Clinical

  NPD (past)

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764979200000",
    "number": "1841729563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TAPIO CENTER, TURQUIOISE FLAG BUILDING, SUITE 225-B",
            "address_2": "104 S FREYA ST.",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99202",
            "telephone_number": "509-289-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S FREYA ST. SUITE 225B",
            "address_2": "TURQUOISE FLAG BUILDING,",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99202",
            "telephone_number": "509-929-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "TAYLOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2025-12-06",
        "certification_date": "2025-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "60707135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen C Kennedy
• Jennifer Lynn Kennedy
• Karen Jane Kennedy, RN
• Kourtney Kennedy, LBA, BCBA
• Selena Kennedy, M.A.
• Jaynelle H Kenney, LICSW
• Marissa Kenney
• Ronald Wayne Kenney
• Christiana Rebecca Kenny, RN
• Kevin Gerard Kenny Jr., CO61281243

• Clinical Social Worker in Spokane, WA
• Providers in Spokane, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.