Provider Demographics
NPI:1154070654
Name:LAWSON, KENNEDI J (BSW)
Entity Type:Individual
Prefix:
First Name:KENNEDI
Middle Name:J
Last Name:LAWSON
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6620 OLD MADISON PIKE NW APT 811
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-2150
Mailing Address - Country:US
Mailing Address - Phone:501-486-5750
Mailing Address - Fax:
Practice Address - Street 1:6620 OLD MADISON PIKE NW APT 811
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-2150
Practice Address - Country:US
Practice Address - Phone:501-486-5750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-22
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker