Individual provider Active NPI

Jennifer Irene Schinke Kendrick, LISW

  • Clinical Social Worker
  • Brandenburg, KY
National Provider Identifier
1063781441
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2305023 Issued in OH
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

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100266280MedicaidKY
1891237442OtherGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY, OH, MN, WV5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
253717KYMDClinical Social Worker
I.2305023OHMDClinical Social Worker
104353KYMDMarriage & Family Therapist
104363KYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindfully, LLC Clinical CurrentSince Jul 30, 2025 Accepting new patients
Mental Health Specialty Group PA CurrentSince Jun 6, 2025 Accepting new patients
Ad Astra Collaborative Therapy CurrentSince Feb 25, 2024 Accepting new patients
Mindfully, LLC Marriage & Family Therapist CurrentSince Jul 30, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Sep 8, 2023 Accepting new patients
Sage Support Services PastSince Jan 1, 2023 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.

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

Verify at the official NPI Registry.