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

Kennedy Haverland, LCSW

Individual provider Clinical Social Worker · NPI 1053009464

Kennedy Haverland, LCSW is a Clinical Social Worker in Albuquerque, New Mexico. Qualified in 2023, 3 years ago. Licensed in New Mexico.

Years since qualifying
3
Licensed in
NM
In the registry since
2023
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

9007 Washington St NE
Albuquerque, NM 87113-2722
Phone: (505) 585-2048
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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 SWB-2025-0878 (NM)

Record details

NPI number1053009464
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 25, 2023
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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