Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charles A Kennedy, LCSW

Individual provider Clinical Social Worker · NPI 1902981624

Charles A Kennedy, LCSW is a Clinical Social Worker in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona and Wisconsin.

Licensed in
AZ, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4120 N 20th St Ste B
Phoenix, AZ 85016-6022
Phone: (602) 284-9343
Fax: (602) 651-1043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-12461 (AZ)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6962-123 (WI)

Record details

NPI number1902981624
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 25, 2006
Last updated in NPPESAugust 11, 2010

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