Beth Joan Kennedy | Howell, MI • PECOS Search

Beth Joan Kennedy

Social Worker

Behavioral Health & Social Service Providers

4896 Chilson Rd, Howell, MI 48843-9453

(810) 206-2086 (586) 306-9645

PECOS Enrollment

Based on the most recent information from CMS, provider Beth Joan Kennedy does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1588705511
Provider Type
Individual
Full Name
Kennedy, Beth Joan
Title
Mrs.
Credential
MSW, LMSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
2/11/2007
Last Updated
12/17/2023

Contact Information

Practice Location

4896 Chilson Rd, Howell, MI 48843-9453

Unlisted Fax

Mailing Location

9241 S Kestrel Ridge Rd, Brighton, MI 48116-5151

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6801084549 Michigan