Kendrick Selwyn Dewdney, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149023136 Issued in IL

Practice address

2653 W Ogden Ave Ste 200
Chicago, IL 60608-1647

Phone

(773) 257-5317

Fax

(773) 257-5330

NPI assigned

Apr 1, 2021

Sex

Male

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

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mount Sinai Community Foundation

  • Rehabilitation Hospital
  • Chicago, IL
  • NPI 1376715896
  Medicare reassignment NPD
• Third Space Counseling PLLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1518770023
  NPD Authorized official
• Depth Counseling Services P C

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1033632104
  Medicare reassignment
• Mount Sinai Community Foundation

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1780094508
  NPD
• Mount Sinai Community Foundation

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1982657854
  NPD

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1619555273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2653 W OGDEN AVE FL 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081647",
            "telephone_number": "773-257-5300",
            "fax_number": "773-257-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2653 W OGDEN AVE STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081647",
            "telephone_number": "773-257-5317",
            "fax_number": "773-257-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWDNEY",
        "first_name": "KENDRICK",
        "middle_name": "SELWYN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149023136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher J Dewald, M.D.
• Sarah Marie Dewalt
• Elena Dewar
• Carolyn Elizabeth Dewart, PHARM.D.
• Soham Dewashrayee
• Summer Dewdney, M.D.
• Alyssa Nicole Dewees, MHP
• April Dewhite, M.D.
• Morgan Paige Dewilde
• Madison Ann Dewinter

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Aug 3, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.