Provider Demographics
NPI:1780742429
Name:KENNEDY, RHONDA ROCHELLE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:ROCHELLE
Last Name:KENNEDY
Suffix:
Gender:F
Credentials:LCSW
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2817 REILLY RD MCXC-COD CREDENTIALS
Mailing Address - Street 2:WOMACK ARMY MEDICAL CENTER
Mailing Address - City:FORT BRAGG
Mailing Address - State:NC
Mailing Address - Zip Code:28310-0001
Mailing Address - Country:US
Mailing Address - Phone:910-907-9778
Mailing Address - Fax:910-907-6571
Practice Address - Street 1:2817 REILLY RD MCXC-COD CREDENTIALS
Practice Address - Street 2:WOMACK ARMY MEDICAL CENTER
Practice Address - City:FORT BRAGG
Practice Address - State:NC
Practice Address - Zip Code:28310-0001
Practice Address - Country:US
Practice Address - Phone:910-907-8922
Practice Address - Fax:910-907-6069
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
1041C0700X
NCC0048681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical