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

Kennedy M Brock, LSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1811556244

Kennedy M Brock, LSW is an Addiction (Substance Use Disorder) Counselor in Mount Vernon, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2019
Specialties on file
3
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

113 W Gambier St
Mount Vernon, OH 43050-2421
Phone: (740) 326-9099
Fax: (740) 326-9099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence S.2512279 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CDCA.169575 (OH)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1811556244
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorYes
NPI enumeratedJune 10, 2019
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025

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