Kendra Tevis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

40770 Issued in TX

Practice address

228 Cliff Heights Cir
Dallas, TX 75241-5331

Phone

(469) 583-4592

NPI assigned

Dec 15, 2021

Sex

Female

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

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1821757907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 CLIFF HEIGHTS CIR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752415331",
            "telephone_number": "469-583-4592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 CLIFF HEIGHTS CIR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752415331",
            "telephone_number": "469-583-4592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEVIS",
        "first_name": "KENDRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-15",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "40770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giuliano Testa, MD
• Ronald J Tester, PT
• Natalia Testo, D.O.
• Monica M Tetrault, LPC
• Veronica Tetterton, PH.D
• Sarah Abigail Tevis, DDS
• Hena Tewari, M.D.
• Habtom Legese Teweldebrahan
• Texacare Hospice Incorporated
• Texas a&M University College of Dentistry

• Clinical Social Worker in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.