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KENDYL WATTS LCSW
NPI 1053885814
Social Worker - Clinical in Portland, OR

Active since January 15, 2019PECOS EnrolledAccepts Medicare Assignment
6510 SE FOSTER RD APT F, PORTLAND, OR 97206(503) 333-7649 Get Directions Write a Review

NPPES record last updated: March 8, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 8, 2019, Jan 15, 2019 (2 updates tracked since 2019).

About Kendyl Watts Lcsw NPPES

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

KENDYL WATTS LCSW (NPI 1053885814) is an individual clinical provider in Portland, Oregon, licensed in Oregon (L7527) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1053885814
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKENDYL WATTSCredential: LCSW
Location Address6510 SE FOSTER RD APT FPortland, OR 97206-4686
Mailing Address6510 Se Foster Rd Apt FPortland, OR 97206-4686 · (503) 333-7649
Phone(503) 333-7649
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateJanuary 15, 2019
Last NPPES UpdateMarch 8, 20192 updates tracked since enumeration
✔ NPI 1053885814 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 OR · L7527
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.
6510 SE FOSTER RD APT F, Portland, OR 97206
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kendyl Watts Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931442241
PECOS Enrollment IDI20190529002355
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.

Medicare Billing Reassignment

Medicare enrollment records show Kendyl Watts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kendyl Watts LLC
2.4 mi
Mental Health (Including Community Mental Health Center)
2512 SE 25TH AVE STE 202
Portland, OR 97202
  • Reassigned Medicare billing, Oregon enrollment
NPI 1770044968 (503) 333-7649

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97206 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 $58.99 – $176.88
Typical copayment $0.00 (range $14.74 – $44.22)
Most-billed visit code NA
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIZZA CHENVEN LCSW LLC
Social Worker (Clinical)
6510 SE FOSTER RD APT F
PORTLAND, OR 97206
Multnomah County (971) 207-5623
NEWGRANGE COUNSELING SERVICES, LLC
Community/Behavioral Health
6510 SE FOSTER RD APT F
PORTLAND, OR 97206
Multnomah County (503) 504-6455

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 Kendyl Watts's NPI number?

The NPI number for Kendyl Watts is 1053885814. It was assigned to this individual provider in the NPPES registry on January 15, 2019.

Where is Kendyl Watts located?

Kendyl Watts practices at 6510 SE Foster Rd Apt F, Portland, OR 97206. The listed phone number is (503) 333-7649.

What is Kendyl Watts's specialty?

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

Is Kendyl Watts enrolled in Medicare?

Yes. Kendyl Watts is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kendyl Watts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kendyl Watts reassigns Medicare benefits to Kendyl Watts LLC (Portland, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kendyl Watts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kendyl Watts accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Kendyl Watts 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 Kendyl Watts was last updated on March 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.