Individual provider Active NPI

Kendra Walker, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1316620198
Registry record updated Nov 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2023031640 Issued in MO
Practice address
1001 Lynch St
Saint Louis, MO 63118-1818
Phone
(314) 615-9105
Fax
(314) 615-2140
NPI assigned
Aug 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2023

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 2023031640 MO Primary

Addresses

Primary practice location

1001 Lynch St
Saint Louis, MO 63118-1818

Mailing address

1001 Lynch St
Saint Louis, MO 63118-1818
Phone (314) 615-9105

Other practice location 1

1610 Menard Dr
Belleville, IL 62220-3046
Phone (618) 301-7699

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
2023031640MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Unwavering Hope Counseling LLC CurrentSince Nov 1, 2023 Accepting new patients

Locations

4460 N Illinois St
Ste 1
Swansea, IL 62226
Phone (618) 277-7570

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699142400000",
    "number": "1316620198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 LYNCH ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631181818",
            "telephone_number": "314-615-9105",
            "fax_number": "314-615-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 LYNCH ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631181818",
            "telephone_number": "314-615-9105",
            "fax_number": "314-615-2140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1610 Menard Dr",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622203046",
            "country_code": "US",
            "telephone_number": "618-301-7699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KENDRA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-11-05",
        "certification_date": "2023-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2023031640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2023; 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.