Healthcare Provider Details

I. General information

NPI: 1699244251
Provider Name (Legal Business Name): JESSICA CAYE KENNEDY LSCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSICA CAYE KENNEDY GRIFFITH LSCSW

II. Dates (important events)

Enumeration Date: 11/13/2018
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 N LORRAINE ST STE 202
HUTCHINSON KS
67501-5600
US

IV. Provider business mailing address

1600 N LORRAINE ST STE 202
HUTCHINSON KS
67501-5600
US

V. Phone/Fax

Practice location:
  • Phone: 620-663-4595
  • Fax: 620-513-5098
Mailing address:
  • Phone: 620-663-7595
  • Fax: 620-513-5098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number06232
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: