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

Jeri Lyn Kennedy, LSCSW

Individual provider Clinical Social Worker · NPI 1871894105

Jeri Lyn Kennedy, LSCSW is a Clinical Social Worker in Wichita, Kansas. Qualified in 1994, 32 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
32
Licensed in
KS, MO
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

839 N Perry Ave
Wichita, KS 67203-3139
Phone: (316) 512-1786
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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 1869 (KS)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2022041935 (MO)

Record details

NPI number1871894105
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSCSW
Sole proprietorYes
NPI enumeratedNovember 3, 2010
Last updated in NPPESOctober 24, 2022
Certification dateOctober 24, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wichita