Brian Anthony Kendrick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

25089 Issued in CA

Practice address

1196 3Rd Ave
Chula Vista, CA 91911-3131

Phone

(619) 427-4661

NPI assigned

Oct 19, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1629150834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 HALSEY ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105902",
            "telephone_number": "619-370-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1196 3RD AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919113131",
            "telephone_number": "619-427-4661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5348 University Ave",
            "address_2": "201",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921058025",
            "country_code": "US",
            "telephone_number": "619-582-9056 x208",
            "fax_number": "619-582-9057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "BRIAN",
        "middle_name": "ANTHONY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "25089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Kelley, FNP-BC
• Kim My Kelly, OD
• Walter Kelly, H.I.S.
• Kelsey Barbieri, Licensed Clinical Social Worker, a Professional Corp
• Jordan Dean Wingfield Keltner
• Gabrielle Kennedy, OTD, OTR/L
• Jack Dylan Kennedy, RD
• Kenneth a. Romero, M.D., Inc
• Pamela Louise Kenney, M.D.
• Vivian Nishan Keorhagian

• Clinical Social Worker in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.