Kermindra L Maberry, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12866 Issued in LA

Practice address

61540 Bennett Rd
Amite, LA 70422-4356

Phone

(985) 474-4958

NPI assigned

Jul 19, 2016

Last updated

Dec 8, 2025By the provider in NPPES

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

Other names 1

• Kermindra L Maberry Professional name

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  • NPI 1942830757
  Medicare reassignment Authorized official
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  • Rural Health Clinic/Center
  • Independence, LA
  • NPI 1922876960
  NPD

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1972956530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61540 BENNETT RD",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "704224356",
            "telephone_number": "985-474-4958",
            "fax_number": "985-318-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61540 BENNETT RD",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "704224356",
            "telephone_number": "985-474-4958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABERRY",
        "first_name": "KERMINDRA",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "12866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERMINDRA",
            "last_name": "MABERRY",
            "middle_name": "L",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nicole King, CIT
• Amy Landry Knight, NP
• Antwyla Chadell Lee
• Velvet Smith Lopinto, RPH
• Rachele Cutrer Lynn, LCSW
• Mary Marshall
• Donald Mason
• Masons 985 Transpo & Logistics
• Maureen Biggs FNP LLC
• Arthur A. Mauterer, M.D.

• Clinical Social Worker in Amite, LA
• Providers in Amite, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.