Kendra N Lutzow, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

76327 Issued in CA

Practice address

81709 Dr Carreon Blvd
Ste D-1
Indio, CA 92201-5509

Phone

(760) 347-2398

NPI assigned

Sep 30, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1356625974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51321 AVENIDA BERMUDAS UNIT 897",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922533068",
            "telephone_number": "760-397-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81709 DR CARREON BLVD",
            "address_2": "STE D-1",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015509",
            "telephone_number": "760-347-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZOW",
        "first_name": "KENDRA",
        "middle_name": "N",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-30",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "76327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Lua
• Rocio Lua
• Tian Luan
• Carolee Abby Luna
• David Lee Lundquist, PH.D.
• Luxottica Retail North America Inc
• Luyen Pham DPM Inc
• Michael Lyon, PHARM.D.
• M. Nieves Gutierrez-Go, MD, Inc
• M.R. Danforth, D.O., P.C.

• Clinical Social Worker in Indio, CA
• Providers in Indio, 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 Apr 18, 2025; 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.