Individual provider Active NPI

Jenny Lynn Kendall, LICSW

  • Clinical Social Worker
  • Moscow, ID
National Provider Identifier
1013591692
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
61116361 Issued in WA
Practice address
906A N Almon St
Moscow, ID 83843-8505
Phone
(208) 669-3124
NPI assigned
May 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 61116361 WA Primary

Addresses

Primary practice location

906A N Almon St
Moscow, ID 83843-8505

Mailing address

527 N Howard St
Moscow, ID 83843-2773
Phone (208) 669-3124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250813000848 WA Practitioner - Clinical Social Worker 9234637752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1200 W Fairview St
Colfax, WA 99111-9552

Hospital & facility affiliations

  • Whitman Hospital and Medical Center Hospital, Colfax, WA, CCN 501327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61116361WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District No 3 of Whitman County CurrentSince Jul 14, 2025 Accepting new patients

Locations

1200 W Fairview St
Colfax, WA 99111
Phone (509) 397-3435

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1013591692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 N HOWARD ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432773",
            "telephone_number": "208-669-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906A N ALMON ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838438505",
            "telephone_number": "208-669-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "JENNY",
        "middle_name": "LYNN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "61116361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moscow, ID

Sources for this page

Verify at the official NPI Registry.