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

Colleen L Kennedy, LICSW

Individual provider Clinical Social Worker · NPI 1861989378

Colleen L Kennedy, LICSW is a Clinical Social Worker in Fergus Falls, Minnesota. Practices with Lakeland Mental Health Center Inc, a 39-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Licensed in
MN
In the registry since
2018
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

980 S Tower Rd
Fergus Falls, MN 56537-5505
Phone: (218) 736-6987
Fax: (218) 736-6980
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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 25024 (MN)

Record details

NPI number1861989378
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 19, 2018
Last updated in NPPESApril 19, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Group practice Lakeland Mental Health Center Inc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fergus Falls