Ashley Kendrick

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149022724 Issued in IL

Practice address

18300 S. Halsted Ste B
MB #114
Glenwood, IL 60425-6042

Phone

(708) 998-6935

NPI assigned

Oct 17, 2017

Last updated

Feb 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ashleykendrick@tdh.allscriptsdirect.net

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.

• Resilient Minds TS LLC

  • Clinical Social Worker
  • Glenwood, IL
  • NPI 1518615335
  NPD Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614384000000",
    "number": "1508377516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18300 S. HALSTED STREET STE B",
            "address_2": "MB #114",
            "city": "GLENWOOD",
            "state": "IL",
            "postal_code": "60425",
            "telephone_number": "708-998-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 S. HALSTED STE B",
            "address_2": "MB #114",
            "city": "GLENWOOD",
            "state": "IL",
            "postal_code": "604256042",
            "telephone_number": "708-998-6935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19530 Kedzie Ave",
            "address_purpose": "LOCATION",
            "city": "Flossmoor",
            "state": "IL",
            "postal_code": "604221778",
            "country_code": "US",
            "telephone_number": "708-799-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "96 Elm St",
            "address_purpose": "LOCATION",
            "city": "Park Forest",
            "state": "IL",
            "postal_code": "60466",
            "country_code": "US",
            "telephone_number": "708-374-4822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1136 S Delano Ct W Ste B201",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606053734",
            "country_code": "US",
            "telephone_number": "708-374-4822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149022724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ontonio Jackson-Lucas
• Gretchen Jackson
• Jencare Neighborhood Medical Center Glenwood, LLC
• Leah Renee Jones, LPC
• Journeys of You
• Kierra Langston, LPN
• Kendall Divante Leonard
• Justina Renee McFadden
• Michelle Meeks, MD
• Missing Piece Behavioral Services, LLC

• Clinical Social Worker in Glenwood, IL
• Providers in Glenwood, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2021; 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.