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Deactivated NPI 1093214892 Deactivated / Inactive NPI Male Practitioner

David Kennedy , LMSW

Social Worker • New Haven, CT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, David Kennedy has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 07, 2018
NPI Deactivation Date November 03, 2020
Total Practice Duration ~2 Years of Practice (2018 – 2020)

Professional Overview & Biography Verified Profile Summary

David Kennedy, LMSW was a registered Social Worker practicing in New Haven, CT. Throughout an active medical career spanning 2 years, David Kennedy provided care at the practice location at 62 GRANT STREET until profile deactivation on 2020-11-03.

Practice Location & Contact Primary Location

Practice Address

62 Grant Street
Grant Street Partnership

New Haven, CT 065190651

Telephone 2035033350
Fax 2035033370
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in New Haven, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.2 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
127 Specialists

Practicing in New Haven, CT (2159 Statewide)

Telehealth Adoption Rate
2.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License CT 4185

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners
Jennie Miele-Hall , LADC, LCAS

Counselor - Addiction (Substance Use Disorder)

NPI 1114682127

Licensed Alcohol and Drug Counselor, Licensed Clinical Addiction Specialist

Melissa Rockett

Nurse Practitioner

NPI 1154487536
Natalie Rivera , LPCA

Counselor - Professional

NPI 1194689406
Donna Dakis

Marriage & Family Therapist

NPI 1215056775
Sean Mansfield , LPC

Counselor - Professional

NPI 1215417407

Licensed Professional Counselor

Daena Murphy , LCSW

Social Worker - Clinical

NPI 1285790436

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 03, 2020

Record deactivated on November 03, 2020

NPI Profile Active February 07, 2018

NPI status registered as active in NPPES database

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Updated Practice Location February 07, 2018

Registered at 62 GRANT STREET, GRANT STREET PARTNERSHIP, NEW HAVEN, CT 065190651 (Tel: 2035033350)

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Updated Business Mailing Address February 07, 2018

Registered at PO BOX 7720, CREDENTIALING SPECIALIST, NEW HAVEN, CT 065190720 (Tel: 2035033174)

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Provider Name / Credentials Updated February 07, 2018

Recorded as DAVID KENNEDY, LMSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2018

Social Worker (License #4185 in CT)

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Initial NPI Registration & Enumeration February 07, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093214892
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2018
Last Update: February 07, 2018
Deactivation Date: November 03, 2020

Mailing Address

Po Box 7720, Credentialing Specialist

New Haven, CT 065190720

Phone: 2035033174

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.