Active NPI
Jennifer Irene Schinke Kendrick, LISW
- Clinical Social Worker
- Brandenburg, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.2305023
- Practice address
- 940 Willards LN
Brandenburg, KY 40108-6326 - Phone
- (502) 203-9197
- NPI assigned
- Dec 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 253717 | KY | |
| Clinical Social Worker | 1041C0700X | 34006806A | IN | |
| Marriage & Family Therapist | 106H00000X | 104363 | KY | |
| Marriage & Family Therapist | 106H00000X | 104353 | KY | |
| Clinical Social Worker | 1041C0700X | I.2305023 | OH | Primary |
Addresses
Primary practice location
940 Willards LN
Brandenburg, KY 40108-6326
Mailing address
940 Willards LN
Brandenburg, KY 40108-6326
Phone (502) 203-9197
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100266280 | Medicaid | KY | |
| 1891237442 | Other | GROUP NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY, OH, MN, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230929000645 | IN | Practitioner - Clinical Social Worker | 6800240516 | Reassigns benefits to 1 organization |
| I20231013002403 | KY | Practitioner - Clinical Social Worker | 6800240516 | Reassigns benefits to 1 organization |
| I20240105003157 | OH | Practitioner - Clinical Social Worker | 6800240516 | Reassigns benefits to 2 organizations |
| I20240304003342 | MN | Practitioner - Clinical Social Worker | 6800240516 | Reassigns benefits to 1 organization |
| I20250611001312 | WV | Practitioner - Clinical Social Worker | 6800240516 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 253717 | KY | MD | Clinical Social Worker |
| I.2305023 | OH | MD | Clinical Social Worker |
| 104353 | KY | MD | Marriage & Family Therapist |
| 104363 | KY | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindfully, LLC | Clinical | Current | Accepting new patients |
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| Ad Astra Collaborative Therapy | Current | Accepting new patients | |
| Mindfully, LLC | Marriage & Family Therapist | Current | Accepting new patients |
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Sage Support Services | Past | Accepting new patients | |
| Mindfully Psychiatry LLC | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646
312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023
2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597
500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000
199 S Chillicothe Rd
Ste 207
Aurora, OH 44202
5630 Bridgetown Rd
Ste 4
Cincinnati, OH 45248
Phone (513) 252-8054
8040 Hosbrook Rd
Ste 320
Cincinnati, OH 45236
Phone (513) 861-9797
463 Ohio Pike
Ste 102B
Cincinnati, OH 45255
Phone (888) 262-3616
4357 Harrison Ave
Ste 100
Cincinnati, OH 45211
100 E Campus View Blvd
Ste 250
Columbus, OH 43235
Phone (267) 817-8902
4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197
10861 Yankee St
Dayton, OH 45458
Phone (937) 619-0800
6255 Emerald Pkwy
Dublin, OH 43016
Phone (614) 766-3344
5050 Blazer Pkwy
Ste 101
Dublin, OH 43017
Phone (614) 451-7346
1251 Nilles Rd
Ste 5
Fairfield, OH 45014
Phone (732) 993-4599
6100 Oak Tree Blvd
Ste 200
Independence, OH 44131
Phone (330) 344-9030
165 W Center St
Ste 400
Marion, OH 43302
Phone (740) 382-3874
1715 Indian Wood Cir
Ste 200
Maumee, OH 43537
Phone (216) 770-9367
10547 Montgomery Rd
Ste 700
Montgomery, OH 45242
Phone (513) 393-0300
110 S College Ave
Fl 2
Oxford, OH 45056
Phone (513) 273-0020
11565 Pearl Rd
Ste 200
Strongsville, OH 44136
Phone (440) 846-0862
3000 Regency Ct
Ste 207
Toledo, OH 43623
Phone (419) 471-0493
5900 W Chester Rd
Ste C
West Chester, OH 45069
Phone (513) 777-2428
204 8th St
Marlinton, WV 24954
Phone (202) 803-7979
Organizations & group practices 7
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.
-
- Community/Behavioral Health Agency
- Brandenburg, KY
- NPI 1891237442
-
- Community/Behavioral Health Agency
- Louisville, KY
- NPI 1639423577
-
- Psychiatry Physician
- Montgomery, OH
- NPI 1881341543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756339200000",
"number": "1063781441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 WILLARDS LN",
"city": "BRANDENBURG",
"state": "KY",
"postal_code": "401086326",
"telephone_number": "502-203-9197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 WILLARDS LN",
"city": "BRANDENBURG",
"state": "KY",
"postal_code": "401086326",
"telephone_number": "502-203-9197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENDRICK",
"first_name": "JENNIFER",
"middle_name": "IRENE SCHINKE",
"name_prefix": "Mrs.",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-14",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "253717",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34006806A",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KY",
"license": "104363",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KY",
"license": "104353",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.2305023",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100266280",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1891237442",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brandenburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.