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General NPI Number Information
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NPI Number | 1184322562
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Entity Type | Individual
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Provider Name | EMILY KENNEDY LSW
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Gender | Female
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Dates
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Enumeration Date | 02/16/2023
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 1060 SHARON DR
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-4522
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Country | US
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Telephone | 812-283-7116
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Fax |
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Provider Business Mailing Address
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Address Line | 7101 RAINELLE RIDGE CT
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City | LANESVILLE
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State | IN
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Zip | 47136-9474
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Country | US
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Telephone | 812-887-7474
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 33011271A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34012293A
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License Number State | IN
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