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

Individual provider Clinical Social Worker · NPI 1922770528

Kenneth Dewayne Perry is a Clinical Social Worker in Jackson, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2021
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Practice location Address checks out

112 N Liberty St
Jackson, TN 38301-6200
Phone: (731) 736-4400
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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 8145 (TN)

Record details

NPI number1922770528
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 1, 2021
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026
Mailing address5905 Airways Blvd, Southaven, MS 38671-1836

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