Kathryn Hendley, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

MSW009720 Issued in GA

Practice address

2810 Peachtree Industrial Blvd Ste D
Duluth, GA 30097-8142

Phone

(404) 919-6722

NPI assigned

May 18, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kathryn Kelkenberg Former name

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Living Balance Psychotherapy LLC

  • Clinical Social Worker
  • Duluth, GA
  • NPI 1265149835
  Medicare reassignment

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1073204111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3470 MCCLURE BRIDGE RD UNIT 2511",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961125",
            "telephone_number": "678-551-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 PEACHTREE INDUSTRIAL BLVD STE D",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978142",
            "telephone_number": "404-919-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDLEY",
        "first_name": "KATHRYN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW009720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "KELKENBERG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maayan Hemphill, RBT
• Virginia N Hemsley, OT
• Lauren Elizabeth Henderson
• Lora Sue Henderson, PHARMD
• Polly A Henderson, MD
• Carolynn Sue Hendricks, D.C.
• Chasidy Hendricks
• Makaila Hendricks, NP
• Shelby Lynn Henry, RBT
• Kayleigh Her, RBT

• Social Worker in Duluth, GA
• Providers in Duluth, GA by specialty
• Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.