Individual provider Active NPI

Katherine G. Clendening, L.C.S.W., C.A.D.C.

  • Clinical Social Worker
  • Wilmington, DE
National Provider Identifier
1225102486
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q10000497 Issued in DE
Practice address
500 W 10TH Street
Wilmington, DE 19801
Phone
(302) 230-9154
Fax
(302) 691-1100
NPI assigned
Nov 20, 2006
Last updated
Nov 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q10000497 DE Primary

Addresses

Primary practice location

500 W 10TH Street
Wilmington, DE 19801

Mailing address

17585 Nassau Commons Blvd Ste 4
Lewes, DE 19958-6286
Phone (302) 245-8223

Other identifiers 1

IdentifierTypeStateIssuer
1000021594MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q10000497DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Behavioral Health Services Past Accepting new patients
Amna Medical Center, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1225102486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17585 NASSAU COMMONS BLVD STE 4",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199586286",
            "telephone_number": "302-245-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W 10TH STREET",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19801",
            "telephone_number": "302-230-9154",
            "fax_number": "302-691-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLENDENING",
        "first_name": "KATHERINE",
        "middle_name": "G.",
        "credential": "L.C.S.W., C.A.D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q10000497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000021594",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.