Nellie Lavern Jenkins-Kendrick, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801079706 Issued in MI

Practice address

16838 E 8 Mile Rd
Detroit, MI 48205-1519

Phone

(313) 245-0870

Fax

(313) 245-0575

NPI assigned

Jun 5, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• CLW Adult Day Care Service LLC

  • Adult Day Care Clinic/Center
  • River Rouge, MI
  • NPI 1497058549
  NPD (past)

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1336375245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16844 PRINCETON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482213157",
            "telephone_number": "313-397-3216",
            "fax_number": "313-397-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16838 E 8 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482051519",
            "telephone_number": "313-245-0870",
            "fax_number": "313-245-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS-KENDRICK",
        "first_name": "NELLIE",
        "middle_name": "LAVERN",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-05",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801079706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keturah Williams Jeffries, M.D.
• Rachel Jeffries, MD
• Jamesina Jemison, R.N.
• Johnna Louise Jenkins Griffin
• Jenkins Investment Group LLC
• Kristan Gail Jenkins-Mosure, M.D.
• Barbara Jenkins
• Cardarrine Ilene Jenkins, LMSW
• Cierra Jenkins
• Eboni Jenkins

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.