Healthcare Provider Details

I. General information

NPI: 1790416378
Provider Name (Legal Business Name): KENNEDY ALEXANDRA HORN LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2022
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1116 HOLDEN RD
FREDERICK MD
21701-3427
US

IV. Provider business mailing address

1116 HOLDEN RD
FREDERICK MD
21701-3427
US

V. Phone/Fax

Practice location:
  • Phone: 443-364-8856
  • Fax:
Mailing address:
  • Phone: 443-364-8856
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number28663
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: