Individual
EMILY KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1060 SHARON DR, JEFFERSONVILLE, IN 47130-4522
(812) 283-7116
Mailing address
7101 RAINELLE RIDGE CT, LANESVILLE, IN 47136-9474
(812) 887-7474
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33011271A
IN
1041C0700X
Clinical Social Worker
Primary
34012293A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121010837799
—
IN
Enumeration date
02/16/2023
Last updated
10/24/2025
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