Kendra Mickens

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW143260 Issued in PA

Practice address

225 E City Ave Ste 104
Bala Cynwyd, PA 19004-1724

Phone

(717) 268-9479

NPI assigned

Aug 31, 2026

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

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1992613855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 NASSAU RD STE 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513540",
            "telephone_number": "267-314-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E CITY AVE STE 104",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041724",
            "telephone_number": "717-268-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKENS",
        "first_name": "KENDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW143260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Methodist Associates in Healthcare, Inc
• Metro Physicians Specialty Group, P.C.
• Karl Robert Meyers Sr., M.D.
• Craig Mezrow, MS, MD, FACS
• Michael R. Grossman, DPM
• Milena Rossius LPC
• Shelley F Milestone, PH.D.
• Kimberly Ann Miller, PT, DPT
• Mindset Over Matter Therapeutic Services
• Eduardo Minsk, D.M.D.

• Social Worker in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.