Deborah Lynn Kendall, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW15908 Issued in FL

Practice address

948 Narcissus St
N Fort Myers, FL 33903-4233

Phone

(239) 410-9653

NPI assigned

Oct 1, 2013

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)

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.

• Mental Health and Wellness Counseling LLC

  • Mental Health Counselor
  • Fort Myers, FL
  • NPI 1831713734
  NPD (past)

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1124455415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 NARCISSUS ST",
            "city": "N FORT MYERS",
            "state": "FL",
            "postal_code": "339034233",
            "telephone_number": "239-410-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 NARCISSUS ST",
            "city": "N FORT MYERS",
            "state": "FL",
            "postal_code": "339034233",
            "telephone_number": "239-410-9653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2180 Maravilla Ln",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339017221",
            "country_code": "US",
            "telephone_number": "239-332-8009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-01",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curtis Hearn, RPH CPH
• Inner Peace Resolution, LLC
• Irbf, Inc.
• John W Mina DPM PA
• Joseph Convertino, OD, PA
• Kent Island Psychological Services Inc
• Daniel McIlroy, PT, DPT
• Millennium Physician Group LLC
• Brittany Caroline Miller
• Esther Morris, APRN

• Clinical Social Worker in N Fort Myers, FL
• Providers in N Fort Myers, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.