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

Patrick Kennedy, LICSW

Individual provider Clinical Social Worker · NPI 1548999329

Patrick Kennedy, LICSW is a Clinical Social Worker in Richfield, Minnesota. Qualified in 2018, 8 years ago. Practices as a sole proprietor. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2022
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

6607 18th Ave S Ste 101
Richfield, MN 55423-2784
Phone: (651) 447-9402
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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 27519 (MN)

Record details

NPI number1548999329
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJune 7, 2022
Last updated in NPPESJune 7, 2022
Certification dateJune 7, 2022
Mailing address5552 Xerxes Ave S, Edina, MN 55410-2439

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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