Susan Marie Kennedy, LCSW, CASAC2, FPA
Social Worker in Hicksville, NY. Individual provider (NPI-1).
NPI number1093290306
StatusActive
Last updated in NPPESMar 9, 2023
Details
- NPI
- 1093290306
- Entity type
- Individual (NPI-1)
- Name
- Susan Marie Kennedy
- Credential
- LCSW, CASAC2, FPA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2018
- Certification date
- Mar 9, 2023
- Last updated
- Mar 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 048762 | NY | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 10816 | NY | |
| 1041C0700X | Social Worker, Clinical | 094851 | NY | |
| 175T00000X | Peer Specialist | – | NY |
Practice location
950 S Oyster Bay RdHicksville, NY 11801-3511
Phone 631-822-6111
Mailing address
950 S Oyster Bay RdHicksville, NY 11801-3511
Phone 516-396-2832
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All 90 Social Worker providers in Hicksville · All 1,866 providers in Hicksville
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