Individual provider Active NPI

Andrea Claire Kendall, LCSW

  • Clinical Social Worker
  • Staunton, VA
National Provider Identifier
1982911038
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904006094 Issued in VA
Practice address
148 Fairmont Dr
Staunton, VA 24401-6604
Phone
(540) 290-1924
NPI assigned
Sep 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904006094 VA Primary

Addresses

Primary practice location

148 Fairmont Dr
Staunton, VA 24401-6604

Mailing address

148 Fairmont Dr
Staunton, VA 24401-6604
Phone (540) 290-1924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20141016002838 VA Practitioner - Clinical Social Worker 2961623830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Savida Health PCGroup PAC ID 4082809967, 89 clinicians

Practice addresses (Care Compare)

115 S W St
Culpeper, VA 22701-3031
Phone (833) 356-4080

316 Warren Ave
Suite 1
Front Royal, VA 22630-4480
Phone (540) 456-2469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Savida Health, PC CurrentSince Feb 6, 2025 Accepting new patients
Savida Health, PC CurrentSince Feb 6, 2025 Accepting new patients

Locations

767 Madison Rd
Ste 107
Culpeper, VA 22701
Phone (540) 850-0858

308 Westwood Office Park
Fredericksburg, VA 22401
Phone (833) 352-4080

316 Warren Ave
Ste 1
Front Royal, VA 22630
Phone (540) 456-2469

590 Neff Ave
Ste 2500
Harrisonburg, VA 22801

700 E Main St
Luray, VA 22835

40 Lambert St
Ste 212
Staunton, VA 24401

125 Lucy Ln
Ste E
Waynesboro, VA 22980

158 Front Royal Pike
Ste 205
Winchester, VA 22602
Phone (540) 450-0334

4001 Prince William Pkwy
Ste 300
Woodbridge, VA 22192
Phone (703) 214-5825

1010 Ox Rd
Woodstock, VA 22664

Interoperability endpoints

  • Direct secure messaging: andrea.kendall.1@24804.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284076800000",
    "number": "1982911038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 FAIRMONT DR",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244016604",
            "telephone_number": "540-290-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 FAIRMONT DR",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244016604",
            "telephone_number": "540-290-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "ANDREA",
        "middle_name": "CLAIRE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-10",
        "last_updated": "2010-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

Verify at the official NPI Registry.