KENDRA B QUILLEN LCSW - NPI 1578435749 - Social Worker in Johnson City, TN

Q: What is Kendra Quillen's NPI number?

The NPI number for Kendra Quillen is 1578435749. It was assigned to this individual provider in the NPPES registry on September 18, 2025.

Q: What is Kendra Quillen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kendra Quillen was last updated on March 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kendra B Quillen Lcsw NPPES

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

KENDRA B QUILLEN LCSW (NPI 1578435749) is an individual clinical provider in Johnson City, Tennessee, licensed in Tennessee (10256) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1578435749

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKENDRA B QUILLENCredential: LCSW

Location Address208 E UNAKA AVEJohnson City, TN 37601-4626

Mailing Address1167 Spratlin Park DrGray, TN 37615-6205 · (423) 467-3600 · Fax (423) 467-3644

Phone(423) 926-0940

Fax(423) 926-4202

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateSeptember 18, 2025

Last NPPES UpdateMarch 10, 20262 updates tracked since enumeration

NPPES CertifiedMarch 10, 2026

✔ NPI 1578435749 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 TN · 10256

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.

208 E UNAKA AVE, Johnson City, TN 37601

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendra B Quillen Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355825506

PECOS Enrollment IDI20260325002183

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 37601 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 $52.64 – $160.89

Typical copayment $0.00 (range $13.16 – $40.22)

Most-billed visit code NA

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.