Kayla Jenkins
Individual provider Active NPI Clinical Social Worker · East Chicago, IN
NPI 1013526243 · NPPES record last updated Dec 19, 2025
Key facts
- NPI
- 1013526243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 34011401A (IN)
- Practice address
- 4230 Fir St Unit 216
East Chicago, IN 46312 - Phone
- (219) 392-7498
- Fax
- (219) 703-6912
- NPI assigned
- Jul 23, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
100 W Chicago Ave
Suite F
East Chicago, IN 46312-3261
8558 Broadway
Merrillville, IN 46410-7032
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250911002533 | IN | Practitioner - Clinical Social Worker | 4688177124 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33009711A | IN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 219 Health Network, Inc. | Current |
Accepting new patients | |
| 219 Health Network Inc | Current |
Accepting new patients | |
| 219 Health Network, Inc. | Past | Accepting new patients |
Locations
4320 Fir St
Unit 216
East Chicago, IN 46312
Phone (219) 392-7025
100 W Chicago Ave
Ste F
East Chicago, IN 46312
Phone (219) 392-7016
8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084
Interoperability endpoints
- kayla.jenkins.p1@direct.northshorehealth.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34011401A | IN | Yes |
| Social Worker | 104100000X | 33009711A | IN |
Addresses
Primary practice location
4230 Fir St Unit 216
East Chicago, IN 46312
Mailing address
8558 Broadway
Merrillville, IN 46410-7032
Phone (219) 392-7016
Other practice location 1
6050 Sterling Creek Rd
Portage, IN 46368-7752
Phone (219) 763-8112
Other providers in East Chicago, IN
- Rajaraman Subramanian Iyer
- James D. Ferguson OD PC
- Zagorka James
- Terrence Tyrome Jamison
- Trinity Jefferson
- Alberto A Jimenez
- Miekel Johnson
- Desiree Jones
- Nadine Jones IX
- Wolly Jefferson Joseph
All providers in East Chicago, IN · Clinical Social Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.