Individual provider Active NPI

Kendra Briann Pruitt, LCSW, MSW

  • Clinical Social Worker
  • Henderson, NC
National Provider Identifier
1467946715
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C014559 Issued in NC
Practice address
100 W Parkview Dr
Henderson, NC 27536-5923
Phone
(252) 438-3549
NPI assigned
Jun 20, 2018
Last updated
Aug 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C014559 NC Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

100 W Parkview Dr
Henderson, NC 27536-5923

Mailing address

717 Old Farm Rd S
Roanoke Rapids, NC 27870-5032
Phone (252) 536-5440

Other practice location 1

110 Division St
Norlina, NC 27563-9041
Phone (252) 456-2009

Other practice location 2

100 Durham
Stovall, NC 27582-9602
Phone (919) 690-0815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20220808003535 NC Practitioner - Clinical Social Worker 9234511130 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Health Group IncGroup PAC ID 9739090226, 65 clinicians

Practice addresses (Care Compare)

110 Division St
Norlina, NC 27563-9041
Phone (252) 456-2009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Group, Inc. CurrentSince Aug 12, 2024 Accepting new patients
Rural Health Group, Inc. Current Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jan 21, 2025 Accepting new patients
Rural Health Group, Inc. CurrentSince Aug 12, 2024 Accepting new patients
Rural Health Group, Inc. Current Accepting new patients
Rural Health Group, Inc. Current Accepting new patients
Pride in North Carolina, LLC Clinical CurrentSince Jul 25, 2022 Accepting new patients
Pride in North Carolina, LLC CurrentSince Jul 25, 2022 Accepting new patients
Rural Health Group Inc Current Accepting new patients

Locations

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

208 Malloy St
Ste B
Goldsboro, NC 27534
Phone (984) 520-6080

231 Commerce St
Greenville, NC 27858
Phone (252) 321-8080

100 W Parkview Dr
Henderson, NC 27536
Phone (252) 438-3549

2902 N Herritage St
#A
Kinston, NC 28501
Phone (252) 520-6740

110 Division St
Norlina, NC 27563
Phone (252) 456-2009

5710 Oleander Dr
Ste 112
Wilmington, NC 28403
Phone (910) 769-1785

2416 Bedgood Dr SW
Wilson, NC 27893
Phone (252) 265-9200

Organizations & group practices 9

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": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1467946715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 OLD FARM RD S",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278705032",
            "telephone_number": "252-536-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W PARKVIEW DR",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275365923",
            "telephone_number": "252-438-3549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Division St",
            "address_purpose": "LOCATION",
            "city": "Norlina",
            "state": "NC",
            "postal_code": "275639041",
            "country_code": "US",
            "telephone_number": "252-456-2009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Durham",
            "address_purpose": "LOCATION",
            "city": "Stovall",
            "state": "NC",
            "postal_code": "275829602",
            "country_code": "US",
            "telephone_number": "919-690-0815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "KENDRA",
        "middle_name": "BRIANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014559",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NC

Sources for this page

Verify at the official NPI Registry.