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

Corey Kennedy, LCSWA

Individual provider Clinical Social Worker · NPI 1811410483

Corey Kennedy, LCSWA is a Clinical Social Worker in Raleigh, North Carolina. Qualified in 2017, 9 years ago. Practices with Advaita Integrated Medicine PLLC, a 16-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
9
Licensed in
NC
In the registry since
2017
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Practice location Address checks out

6112 Saint Giles St
Raleigh, NC 27612-7043
Phone: (919) 893-4465
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 146 Trinity Creek Dr, Holly Springs, NC 27540-5465 — (919) 410-8872

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X (NC)

Record details

NPI number1811410483
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWA
Sole proprietorYes
NPI enumeratedJuly 25, 2017
Last updated in NPPESDecember 5, 2024
Certification dateDecember 5, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Advaita Integrated Medicine Pllc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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