Active NPI
Kendra Caroline Taylor
- Clinical Social Worker
- Salem, OR
National Provider Identifier
1396465928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L17616
- Practice address
- 2405 Front St NE
Salem, OR 97301-0775 - Phone
- (503) 420-3194
- NPI assigned
- Sep 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L17616 | OR | Primary |
Addresses
Primary practice location
2405 Front St NE
Salem, OR 97301-0775
Mailing address
PO Box 12473
Salem, OR 97309-0473
Phone (503) 343-1332
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L17616 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1396465928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12473",
"city": "SALEM",
"state": "OR",
"postal_code": "973090473",
"telephone_number": "503-343-1332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2405 FRONT ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973010775",
"telephone_number": "503-420-3194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "KENDRA",
"middle_name": "CAROLINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-01",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L17616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.