MEDICARE: JAN L KENNEDY LCSW-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	12832	MD

General Provider Information

NPI Number	:	1912063736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAN L KENNEDY LCSW-C

Provider Business Mailing Address
First Line	:	164 W MAIN ST
Second Line	:	SUITE A
City	:	NEW MARKET
State	:	MD
Zip	:	21774-6279
Country	:	US
Telephone Number	:	240-285-5285
Fax Number	:

Provider Business Practice Location Address
First Line	:	164 W MAIN ST
Second Line	:	SUITE A
City	:	NEW MARKET
State	:	MD
Zip	:	21774-6279
Country	:	US
Telephone Number	:	240-285-5285
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	06/14/2011

Similar Medicare Providers

1588806616 — DR. JONATHAN RICHARD VAN METER M.D.
Practice Location Address:

164 W MAIN ST STE B
NEW MARKET, MD
21774-6279

Practice Phone: 301-882-8470
Practice Fax: 301-882-8471

1952001521 — JONATHAN R VAN METER MD
Practice Location Address:

164 W MAIN ST STE B
NEW MARKET, MD
21774-6279

Practice Phone: 301-882-8470
Practice Fax: 301-882-8471

1649268806 — MARSHA DAVIS BENSHIR OD
Practice Location Address:

164 W MAIN ST , NEW MARKET
NEW MARKET, MD
21774-6279

Practice Phone: 301-829-1910
Practice Fax: 301-865-1973

1821271362 — DRS MORTON DAVIS DR. MICHAEL KOTLICKY DR MARSHA KOTLICKY OPTOMETRISTS
Practice Location Address:

164 W MAIN ST , SUITE B
NEW MARKET, MD
21774-6279

Practice Phone: 301-829-1910
Practice Fax: 301-865-1973

1588965198 — IRMELA GRACE MACEWEN MSW, LCSW-C
Practice Location Address:

164 W MAIN ST STE A
NEW MARKET, MD
21774-6279

Practice Phone: 301-865-2226
Practice Fax: 301-865-6720

1134424872 — COMMUNITY SPEECH THERAPY, INC.
Practice Location Address:

164 W MAIN ST , SUITE A
NEW MARKET, MD
21774-6279

Practice Phone: 301-606-8278
Practice Fax:

Directions to “ JAN L KENNEDY LCSW-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.