P Praxis·MD
● Active Type 1 · Individual

MS. Kim Kennedy, LCSW

Social Worker·Mc Gregor, TX· NPI 1871925511 · Enumerated 2013 · 12 years on NPI
Kennedy is 1 of 2 social worker providers in Mc Gregor and 1 of 12911 in Texas.
NPI age
12 years
Enumerated 2013-08-05
Primary specialty
Social Worker
Plus 2 subspecialties
Licensed in
TX, UT, CT
3 states
Status
Active
No deactivations on record
Last NPPES update
2021-03-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 12911 active social worker providers in Texas.

NPI age
12 years
↑ 5 yr above median (7 yr)
State licenses
3 states
Top 92% — 7% of peers are multi-state
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-08Enumerated in NPPES
2013 2026

Where they practice

Practice location
213 S Madison St
Mc Gregor, TX 766572328
📞 2542364158
Mailing address
213 S Madison St
Mc Gregor, TX 766572328
📞 2542364158

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
20 Batterson Park Rd, Suite 300
Farmington, CT 060324502
📞 8602841177fax 8602841125
Location 3
237 26th St
Ogden, UT 844013105
📞 8016253700

Specialties

  • Social Worker Primary
    A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be...
    TX license #67562UT license #10424139-3501CT license #50.008366 taxonomy 1041C0700X

Identifiers

TypeValueNotes
01 (UT) 260022408 RAILROAD MEDICARE
05 (UT) 876000308007
01 (UT) 000055266 MEDICARE PIN
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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