KENTRELL DEANDRE WASHINGTON LCSW
NPI 1023612975
Social Worker - Clinical in Milwaukee, WI

Active since November 22, 2020PECOS Enrolled
1732 N PROSPECT AVE APT 207, MILWAUKEE, WI 53202(920) 728-2361 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2025, Nov 22, 2020 (2 updates tracked since 2020).

About Kentrell Deandre Washington Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENTRELL DEANDRE WASHINGTON LCSW (NPI 1023612975) is an individual clinical provider in Milwaukee, Wisconsin, licensed in Wisconsin (12130123) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1023612975
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKENTRELL DEANDRE WASHINGTONCredential: LCSW
Location Address1732 N PROSPECT AVE APT 207Milwaukee, WI 53202-1945
Mailing Address1732 N Prospect Ave Apt 207Milwaukee, WI 53202-1945 · (920) 728-2361
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 22, 2020
Last NPPES UpdateJune 3, 20252 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
NPI 1023612975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WI · 12130123
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1732 N PROSPECT AVE APT 207, Milwaukee, WI 53202

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kentrell Deandre Washington Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254830714
PECOS Enrollment IDI20250820001957
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kentrell Washington's NPI number?

The NPI number for Kentrell Washington is 1023612975. It was assigned to this individual provider in the NPPES registry on November 22, 2020.

Where is Kentrell Washington located?

Kentrell Washington practices at 1732 N Prospect Ave Apt 207, Milwaukee, WI 53202. The listed phone number is (920) 728-2361.

What is Kentrell Washington's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kentrell Washington enrolled in Medicare?

Yes. Kentrell Washington is registered in the Medicare PECOS enrollment system.

What insurance does Kentrell Washington accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Kentrell Washington as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kentrell Washington was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.