Individual
MRS. JENNIFER ANNE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4 PRINCESS RD STE 206, LAWRENCEVILLE, NJ 08648-2322
(908) 797-5200
Mailing address
PO BOX 105, RINGOES, NJ 08551-0105
(908) 797-5200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05656900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44SC85656988
NJ
NJ
Enumeration date
10/09/2020
Last updated
04/06/2025
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