Kendall Manwill, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11065177-3501 Issued in UT

Practice address

2975 W Executive Pkwy Ste 277
Lehi, UT 84043-9642

Phone

(310) 774-1889

NPI assigned

Nov 30, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Brave Transitions

  • Clinical Social Worker
  • Lehi, UT
  • NPI 1538901665
  NPD Authorized official

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1063170777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 E 140 S",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623048",
            "telephone_number": "310-774-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 W EXECUTIVE PKWY STE 277",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840439642",
            "telephone_number": "310-774-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANWILL",
        "first_name": "KENDALL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "11065177-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikayla Lynne Malone, OTR/L
• Laura Kaeann Malufau
• Mammoth Mental Health LLC
• Jonathan D Mann, CRNA
• Tanner John Manwaring, DNP, PMHNP-BC
• Kendra Manwill, RD, CD
• Marianne Haines, PLLC
• Michael Dean Marion, M.D.
• Kimberly Martin, LMFT
• Sydney Martin

• Clinical Social Worker in Lehi, UT
• Providers in Lehi, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.