Kennedy Boulis, LLMSW
NPI 1164011474 · Clinical Social Worker · Saginaw, MI
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kennedy Boulis, LLMSW is a Clinical Social Worker provider in Saginaw, MI (NPI 1164011474).
Provider details
- NPI number
- 1164011474
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LLMSW
- Sex
- Female
- Sole proprietor
- No
- License
- 6801108061 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-01-12
- Last updated
- 2023-01-10
- Certified
- 2023-01-10
Frequently asked questions
- What is Kennedy Boulis's NPI number?
- Kennedy Boulis's National Provider Identifier (NPI) is 1164011474, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kennedy Boulis's specialty?
- Kennedy Boulis is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kennedy Boulis located?
- Kennedy Boulis's practice location on file with NPPES is 700 Court St, Saginaw, MI 48602-4251.
- What is Kennedy Boulis's phone number?
- The practice phone number listed in the NPPES registry for Kennedy Boulis is (989) 921-5375.
- Does Kennedy Boulis accept Medicare?
- Kennedy Boulis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kennedy Boulis's NPI active?
- Yes — Kennedy Boulis's NPI (1164011474) is active in the NPPES registry as of the last update on 2023-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.