Active NPI
Lauretta Marie Kendig, LCSW
- Clinical Social Worker
- Dallas, TX
National Provider Identifier
1407415920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 63344
- Practice address
- 4305 Macarthur Ave
Dallas, TX 75209-6511 - Phone
- (214) 526-4525
- NPI assigned
- Jun 8, 2019
- Last updated
- Sep 4, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 63344 | TX | Primary |
Addresses
Primary practice location
4305 Macarthur Ave
Dallas, TX 75209-6511
Mailing address
4305 Macarthur Ave
Dallas, TX 75209-6511
Phone (214) 526-4525
Other practice location 1
16910 Club Hill Dr
Dallas, TX 75248-2018
Phone (214) 927-9644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 63344 | Other | TX | LICENSED CLINICAL SOCIAL WORKER |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Plano | ||
| Other URL | Thecentercounseling | Direct | The Center for Integrative Counseling and Psychology |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1407415920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4305 MACARTHUR AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752096511",
"telephone_number": "214-526-4525",
"fax_number": "214-520-6468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4305 MACARTHUR AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752096511",
"telephone_number": "214-526-4525"
}
],
"practiceLocations": [
{
"address_1": "16910 Club Hill Dr",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752482018",
"country_code": "US",
"telephone_number": "214-927-9644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENDIG",
"first_name": "LAURETTA",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-08",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "63344",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CLINICAL SOCIAL WORKER",
"identifier": "63344",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Plano",
"affiliation": "N",
"address_1": "3101 Coit Rd",
"city": "Plano",
"state": "TX",
"country_code": "US",
"postal_code": "750753725",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Thecentercounseling",
"affiliation": "Y",
"endpointDescription": "Thecentercounseling",
"affiliationName": "The Center for Integrative Counseling and Psychology",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "group",
"address_1": "4305 MacArthur Ave",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "752096511",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.