Kendra Kabongo-Faroul, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904010439 Issued in VA

Practice address

3757 Coco Palm
El Paso, TX 79936-2167

Phone

(757) 715-1263

NPI assigned

Aug 19, 2018

Sex

Female

Sole proprietor

Yes

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

Enrolled in VA

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

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• KNK Clinical Consulting LLC

  • Adult Mental Health Clinic/Center
  • Chesapeake, VA
  • NPI 1407786205
  NPD Authorized official
• Riverside Hospital Inc

  • Internal Medicine Physician
  • Newport News, VA
  • NPI 1508019837
  Medicare reassignment

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

{
    "created_epoch": "1534636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534636800000",
    "number": "1437639424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3757 COCO PALM",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799362167",
            "telephone_number": "757-715-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3757 COCO PALM",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799362167",
            "telephone_number": "757-715-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABONGO-FAROUL",
        "first_name": "KENDRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-19",
        "last_updated": "2018-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jym'S Hugs & Kisses Day Care Too
• K & B Training Institute
• K & Z Managed Care LLC
• Ka C Wong MD PA
• Amy Kristine Kabel, MOTR/L
• Nicolas A Kabsy, M.S., BCBA
• Evelyn Lillian Kachikwu, MD
• Karen Kaferly
• Elisa Kahn, SLP
• Stuart W. Kahn

• Clinical Social Worker in El Paso, TX
• Providers in El Paso, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.