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

Mia Kennedy

Individual provider Clinical Social Worker · NPI 1356104137

Mia Kennedy is a Clinical Social Worker in Bethany, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2024

Practice location Address checks out

7908 NW 23rd St
Bethany, OK 73008-4950
Phone: (405) 440-1006
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 7689 (OK)

Record details

NPI number1356104137
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 5, 2024
Last updated in NPPESFebruary 5, 2024
Certification dateFebruary 3, 2024
Mailing address10613 Longview Dr, Oklahoma City, OK 73162-4034

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