Individual provider Active NPI

Delaney Rae Kirkendall, LSW

  • Social Worker
  • La Porte, IN
National Provider Identifier
1437093572
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
33011746A Issued in NU
Practice address
300 Wile St Ste 2
La Porte, IN 46350-5672
Phone
(574) 215-2612
NPI assigned
Apr 17, 2026
Last updated
Apr 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 33011746A NU Primary

Addresses

Primary practice location

300 Wile St Ste 2
La Porte, IN 46350-5672

Mailing address

1920 W Ewing Ave
South Bend, IN 46613-1327
Phone (574) 215-2612

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hickory Grove Behavioral Services, LLC Current Accepting new patients

Locations

300 Wile St
Ste 2
Laporte, IN 46350
Phone (219) 324-8860

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1776384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1437093572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 W EWING AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466131327",
            "telephone_number": "574-215-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WILE ST STE 2",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463505672",
            "telephone_number": "574-215-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKENDALL",
        "first_name": "DELANEY",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-17",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": "33011746A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.

Verify at the official NPI Registry.