Kendra Alayne Trufahnestock, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW123744 Issued in PA

Practice address

3235 North Third Street
Harrisburg, PA 17110-1308

Phone

(717) 234-3839

Fax

(717) 234-6247

NPI assigned

Jul 6, 2006

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

• Ms. Kendra Alayne Fahnestock Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2018 through Oct 1, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Psychiatric Psychological & Therapeutic

  dba New Passages

  • Mental Health Counselor
  • Harrisburg, PA
  • NPI 1750398715
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114958063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 LOCUST LANE",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171093535",
            "telephone_number": "717-545-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 NORTH THIRD STREET",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101308",
            "telephone_number": "717-234-3839",
            "fax_number": "717-234-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUFAHNESTOCK",
        "first_name": "KENDRA",
        "middle_name": "ALAYNE",
        "name_prefix": "Ms.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW123744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDRA",
            "last_name": "FAHNESTOCK",
            "middle_name": "ALAYNE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katarina Lynn Truber, DO
• True Angels Health Services LLC
• True Angels Health Services LLC
• True Home Health Care, LLC
• Truewest Home Care LLC
• Hiep Thuy Truong, P.A.
• Jennifer D Trygar, CRNP
• Steve C Tsai, MD
• Natalie R Tucci
• Peter Joseph Tucker, MD

• Clinical Social Worker in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.