Individual
MRS. ANGELA A KENEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP, LCSW, LADC
Contact information
Practice address
4611 S 96TH ST STE 174, OMAHA, NE 68127-1242
(402) 320-2336
Mailing address
4611 S 96TH ST STE 174, OMAHA, NE 68127-1242
(402) 320-2336
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1291
NE
101YM0800X
Mental Health Counselor
2356
NE
101YM0800X
Mental Health Counselor
9608
NE
1041C0700X
Clinical Social Worker
Primary
1645
NE
1041C0700X
Clinical Social Worker
Primary
6800
NE
Other
Enumeration date
06/29/2012
Last updated
05/23/2026
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