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

Individual provider Clinical Social Worker · NPI 1457686636

Mark Kennedy, LCSW is a Clinical Social Worker in San Diego, California. Practices as a sole proprietor. Registered with an NPI since 2009.

In the registry since
2009
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

9445 Farnham St Ste 100
San Diego, CA 92123-1308
Phone: (858) 380-4676
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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

Record details

NPI number1457686636
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 6, 2009
Last updated in NPPESOctober 6, 2009

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