Kenneavy, Jennifer Susan

Kenneavy, Jennifer Susan is an individual health care provider with primary practice located at 1335 N Mill St Ste 100 , Naperville IL 60563-2047. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kenneavy, Jennifer Susan can be contacted via phone (630) 646-8000.

Contact Information

Primary practice address
1335 N Mill St Ste 100 Naperville IL 60563-2047
Phone: (630) 646-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1376814715
LBN Legal business name Kenneavy, Jennifer Susan
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2012
Last updated May 10th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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