Ashley Kendrick
Individual provider Active NPI Clinical Social Worker · Glenwood, IL
NPI 1508377516 · NPPES record last updated Feb 27, 2021
Key facts
- NPI
- 1508377516
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149022724 (IL)
- Practice address
- 18300 S. Halsted Ste B
MB #114
Glenwood, IL 60425-6042 - Phone
- (708) 998-6935
- NPI assigned
- Oct 17, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149022724 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Resilient Minds TS LLC | Clinical | Current | Accepting new patients |
Locations
18300 S Halsted St
Ste B
Glenwood, IL 60425
Phone (312) 736-2060
Interoperability endpoints
- ashleykendrick@tdh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149022724 | IL | Yes |
Addresses
Primary practice location
18300 S. Halsted Ste B
MB #114
Glenwood, IL 60425-6042
Mailing address
18300 S. Halsted Street Ste B
MB #114
Glenwood, IL 60425
Phone (708) 998-6935
Other practice location 1
19530 Kedzie Ave
Flossmoor, IL 60422-1778
Phone (708) 799-2200
Other practice location 2
96 Elm St
Park Forest, IL 60466
Phone (708) 374-4822
Other practice location 3
1136 S Delano Ct W Ste B201
Chicago, IL 60605-3734
Phone (708) 374-4822
Other providers in Glenwood, IL
- Ontonio Jackson-Lucas
- Gretchen Jackson
- Jencare Neighborhood Medical Center Glenwood, LLC
- Leah Renee Jones
- Journeys of You
- Kierra Langston
- Kendall Divante Leonard
- Justina Renee McFadden
- Michelle Meeks
- Missing Piece Behavioral Services, LLC
All providers in Glenwood, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.