Kennedy, Jodie

Kennedy, Jodie is an sole proprietor health care provider with primary practice located at 3412 S Illinois Ave , Carbondale IL 62903-8362. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kennedy, Jodie can be contacted via phone (618) 327-1304.

Contact Information

Primary practice address
3412 S Illinois Ave Carbondale IL 62903-8362
Phone: (618) 327-1304
Fax: (618) 457-8844
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.014109 Illinois
Behavioral Health & Social Service Providers / Counselor 101Y00000X 149-014109 Illinois

Profile Details

NPI number 1083930705
LBN Legal business name Kennedy, Jodie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2010
Last updated Nov 15th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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