Kendra Dawn Valdez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS19490 Issued in CA

Practice address

55 W. Sierra Madre Blvd.
Suite 120
Sierra Madre, CA 91024-1828

Phone

(818) 730-5545

NPI assigned

May 23, 2007

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

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Olive Crest

  • Community/Behavioral Health Agency
  • Bellflower, CA
  • NPI 1265569057
  Medicare reassignment NPD
• Attachment Based TX

  • Clinical Social Worker
  • Sierra Madre, CA
  • NPI 1770298796
  NPD Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1154531259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 W. SIERRA MADRE BLVD.",
            "address_2": "SUITE 120",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910241828",
            "telephone_number": "818-730-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 W. SIERRA MADRE BLVD.",
            "address_2": "SUITE 120",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910241828",
            "telephone_number": "818-730-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "KENDRA",
        "middle_name": "DAWN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS19490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Tran, NP, CNS, MSN, PHD
• Catherine Trzeciak, M.S.
• Katherine Tse, MA
• Miguel Antonio Ulloa
• Connie Vaillancourt
• Shannon Elizabeth Vandevelde, P.T.
• Casey Vongphrachanh
• Julie Rommen Whipple, PHD
• Michael K Williams, P.T.
• Jacque Wiswell, BCBA

• Clinical Social Worker in Sierra Madre, CA
• Providers in Sierra Madre, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.

Verify at the official NPI Registry.