Individual provider Active NPI

Bonnie Jene Kendall, LCSW

  • Clinical Social Worker
  • Kennewick, WA
National Provider Identifier
1952460776
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00007462 Issued in WA
Practice address
8524 W Gage Blvd Ste a-111
Kennewick, WA 99336-8241
Phone
(509) 627-0504
NPI assigned
Dec 7, 2006
Last updated
Dec 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LCSW122495 CA
Clinical Social Worker 1041C0700X L8437 OR
Clinical Social Worker 1041C0700X LW00007462 WA Primary

Addresses

Primary practice location

8524 W Gage Blvd Ste a-111
Kennewick, WA 99336-8241

Mailing address

8524 W Gage Blvd Ste a-111
Kennewick, WA 99336-8241
Phone (509) 627-0504

Other practice location 1

760 Newhall Dr Ste 1166
San Jose, CA 95110-1106
Phone (509) 627-0504

Other practice location 2

2850 SW Cedar Hills Blvd # 2009
Beaverton, OR 97005-1354
Phone (509) 627-0504

Other names 1

  • Bonnie Jene Hauser Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20110922000757 WA Practitioner - Clinical Social Worker 6709057771 Practice locations: Richland, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

705 Gage Blvd
Suite 102
Richland, WA 99352-9716
Phone (509) 627-0504

8524 W Gage Blvd
Suite a 111
Kennewick, WA 99336-8241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW122495CAMDSocial Worker
L8437ORMDClinical Social Worker
LW00007462WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1952460776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8524 W GAGE BLVD STE A-111",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368241",
            "telephone_number": "509-627-0504",
            "fax_number": "509-627-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8524 W GAGE BLVD STE A-111",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368241",
            "telephone_number": "509-627-0504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "760 Newhall Dr Ste 1166",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951101106",
            "country_code": "US",
            "telephone_number": "509-627-0504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2850 SW Cedar Hills Blvd # 2009",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970051354",
            "country_code": "US",
            "telephone_number": "509-627-0504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "BONNIE",
        "middle_name": "JENE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCSW122495",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L8437",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00007462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "HAUSER",
            "middle_name": "JENE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.