Kennedy, Craig Michael

Kennedy, Craig Michael is an individual health care provider with primary practice located at 1292 Main St , Rotterdam Junction NY 12150-9741. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Kennedy, Craig Michael can be contacted via phone (518) 464-6302.

Contact Information

Primary practice address
1292 Main St Rotterdam Junction NY 12150-9741
Phone: (518) 464-6302
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X R028361-1 New York

Profile Details

NPI number 1932486107
LBN Legal business name Kennedy, Craig Michael
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2011
Last updated Nov 15th, 2011 - about 13 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.

Request for update

Popular Providers