MS. KENDRA JAMILA PENDERGRAPH
NPI 1194364950
Social Worker - Clinical in Wilmington, NC

Active since December 27, 2019
1608 QUEEN ST STE 114, WILMINGTON, NC 28401(919) 790-8580 Get Directions Write a Review

NPPES record last updated: December 27, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kendra Jamila Pendergraph NPPES

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

MS. KENDRA JAMILA PENDERGRAPH (NPI 1194364950) is an individual clinical provider in Wilmington, North Carolina, licensed in North Carolina (P14023) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1194364950
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KENDRA JAMILA PENDERGRAPH
Location Address1608 QUEEN ST STE 114Wilmington, NC 28401-5527
Mailing Address301 W Willowood LnJacksonville, NC 28546-7927 · (910) 381-2131
Sole ProprietorNo
Enumeration DateDecember 27, 2019
NPI 1194364950 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 NC · P14023
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.
1608 QUEEN ST STE 114, Wilmington, NC 28401

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
1608 QUEEN ST STE 114
WILMINGTON, NC 28401

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 Kendra Pendergraph's NPI number?

The NPI number for Kendra Pendergraph is 1194364950. It was assigned to this individual provider in the NPPES registry on December 27, 2019.

Where is Kendra Pendergraph located?

Kendra Pendergraph practices at 1608 Queen St Ste 114, Wilmington, NC 28401. The listed phone number is (919) 790-8580.

What is Kendra Pendergraph's specialty?

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

When was this NPI record last updated?

The NPPES record for Kendra Pendergraph was last updated on December 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.