SARA RENEE KENNEDY (MSW, LICSW) – Clinical Social Worker, NPI 1609530716

SARA RENEE KENNEDY (MSW, LICSW) is a healthcare provider. based in Mora, Minnesota. specializing in Clinical Social Worker. They hold the professional credentials MSW, LICSW. They hold a License No. 18634 (MN). The NPI Number for SARA RENEE KENNEDY (MSW, LICSW) is 1609530716

Main info

Female
Sole Proprietor
Name
SARA RENEE KENNEDY (MSW, LICSW)
NPI
1609530716
Phone
(320) 515-1697
Address
134 RIVERSIDE ST
Enumeration Date
25 October 2021
Last Update Date
1 October 2024

Contacts

Other Endpoint
Procentive
Other Endpoint
simplepractice.com
Other Endpoint
Simplepactice.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

Provider Addresses for SARA RENEE KENNEDY (MSW, LICSW)

  • 134 RIVERSIDE ST

    MORA, MN 550511715

    Phone: (320) 515-1697

    Type: Mailing

  • 4255 Pheasant Ridge Dr NE Ste 412

    Blaine, MN 554495066

    Phone: (651) 448-2322

    Fax: (763) 703-3725

    Type: Location

  • 22130 TYPO CREEK DR NE

    WYOMING, MN 550924602

    Phone: (651) 271-8970

    Type: Mailing

  • 144 2ND AVE SE

    CAMBRIDGE, MN 550081601

    Phone: (612) 424-1574

    Type: Location

  • 105 UNION ST S STE 3

    MORA, MN 550511592

    Phone: (651) 448-2322

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55051)

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Reviews

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Frequently asked questions

Is SARA RENEE KENNEDY (MSW, LICSW) listed with a National Provider Identifier?
Yes — SARA RENEE KENNEDY (MSW, LICSW) has NPI 1609530716 on file in the registry.
Is there an active status for SARA RENEE KENNEDY (MSW, LICSW)?
For scheduling context, SARA RENEE KENNEDY (MSW, LICSW) is shown as active in the registry.
How would a patient describe SARA RENEE KENNEDY (MSW, LICSW)'s focus?
For SARA RENEE KENNEDY (MSW, LICSW), the primary taxonomy reads as Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What locale is associated with SARA RENEE KENNEDY (MSW, LICSW)?
Directory geography for SARA RENEE KENNEDY (MSW, LICSW) centers on Mora, Minnesota.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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