Provider Demographics
NPI:1043598782
Name:KENNEDY, JOYCEE (LCSW)
Entity Type:Individual
Prefix:
First Name:JOYCEE
Middle Name:
Last Name:KENNEDY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 YORK STREET
Mailing Address - Street 2:THE EMPOWERMENT PROGRAM
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-1422
Mailing Address - Country:US
Mailing Address - Phone:303-320-1989
Mailing Address - Fax:303-320-3987
Practice Address - Street 1:1600 YORK STREET
Practice Address - Street 2:THE EMPOWERMENT PROGRAM
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-1422
Practice Address - Country:US
Practice Address - Phone:303-320-1989
Practice Address - Fax:303-320-3987
Is Sole Proprietor?:No
Enumeration Date:2011-07-29
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO985069101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health