Active NPI
Kendra S O'Connor, MSW, LCSW
- Clinical Social Worker
- Fort Wayne, IN
National Provider Identifier
1659330439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34005068A
- Practice address
- 6201 Constitution Dr
Fort Wayne, IN 46804-1517 - Phone
- (260) 715-8767
- NPI assigned
- Mar 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34005068A | IN | Primary |
Addresses
Primary practice location
6201 Constitution Dr
Fort Wayne, IN 46804-1517
Mailing address
6201 Constitution Dr
Fort Wayne, IN 46804-1517
Phone (260) 715-8767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000663845 | Other | IN | ANTHEM BLUE CROSS BLUE SHIELD |
Other names 1
- Kendra S. Hensch
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2021 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34005068A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kohopellc | Current | Accepting new patients | |
| Consulting & Counseling Associates, LLC | Clinical | Past | Accepting new patients |
Locations
6201 Constitution Dr
Fort Wayne, IN 46804
Phone (260) 436-7131
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Fort Wayne, IN
- NPI 1336876101
-
- Clinical Social Worker
- Fort Wayne, IN
- NPI 1962432971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1659330439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 CONSTITUTION DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468041517",
"telephone_number": "260-715-8767",
"fax_number": "260-436-5123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6201 CONSTITUTION DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468041517",
"telephone_number": "260-715-8767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNOR",
"first_name": "KENDRA",
"middle_name": "S",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-21",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34005068A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
"identifier": "000000663845",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KENDRA",
"last_name": "HENSCH",
"middle_name": "S.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.