Kendaya Chin-Jackson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

26325 Issued in FL

Practice address

7208 Woodmont Ave
Tamarac, FL 33321-2636

Phone

(954) 661-4844

NPI assigned

May 4, 2026

Last updated

May 4, 2026By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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": "1777852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1710824032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7208 WOODMONT AVE",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7208 WOODMONT AVE",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212636",
            "telephone_number": "954-661-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN-JACKSON",
        "first_name": "KENDAYA",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "26325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.