Individual provider Active NPI

Damona Norris-Kindred

  • Clinical Social Worker
  • Bakersfield, CA
National Provider Identifier
1063076800
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW78360 Issued in CA
Practice address
3300 Truxtun Ave Ste 200
Bakersfield, CA 93301-3143
Phone
(661) 868-6600
NPI assigned
Apr 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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 ASW78360 CA Primary

Addresses

Primary practice location

3300 Truxtun Ave Ste 200
Bakersfield, CA 93301-3143

Mailing address

3300 Truxtun Ave Ste 200
Bakersfield, CA 93301-3143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • 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
I20250113001837 CA Practitioner - Clinical Social Worker 3375071723 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW78360CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kern County Hospital Authority CurrentSince Nov 9, 2024 Accepting new patients
Kern County Hospital Authority CurrentSince Nov 9, 2024 Accepting new patients

Locations

1111 Columbus St
Bakersfield, CA 93305
Phone (661) 326-5052

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1063076800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 TRUXTUN AVE STE 200",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 TRUXTUN AVE STE 200",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013143",
            "telephone_number": "661-868-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS-KINDRED",
        "first_name": "DAMONA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-26",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW78360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.