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

Kennedy Boulis, LLMSW

Individual provider Clinical Social Worker · NPI 1164011474

Kennedy Boulis, LLMSW is a Clinical Social Worker in Saginaw, Michigan. Licensed in Michigan. Registered with an NPI since 2021.

Licensed in
MI
In the registry since
2021

Practice location Address checks out

700 Court St
Saginaw, MI 48602-4251
Phone: (989) 921-5375
Fax: (989) 921-5373
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801108061 (MI)

Record details

NPI number1164011474
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLMSW
Sole proprietorNo
NPI enumeratedJanuary 12, 2021
Last updated in NPPESJanuary 10, 2023
Certification dateJanuary 10, 2023

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