IndividualActive
Justin Kennard, L.C.S.W.
NPI 1689091258 · Clinical Social Worker · Detroit, MI
Provider details
- NPI number
- 1689091258
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- L.C.S.W.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6801100540 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
111 E Kirby St
Detroit, MI 48202-4003
Phone: (347) 690-0774
Street-level locationGet directions
Mailing address
4751 Commonwealth St
Detroit, MI 48208-2225
Additional practice locations (1)
- 1775 E 14 Mile Rd.Awareness Counseling SuiteBirmingham, MI 48009-7206Phone: (973) 214-9110
Registry dates
- Enumerated
- 2014-03-21
- Last updated
- 2019-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.