KENDRA DAWN GRAHAM LCSW
NPI 1619642055
Social Worker - Clinical in Plainfield, IL

Active since August 09, 2021PECOS EnrolledAccepts Medicare Assignment
2702 TELLURIDE CT, PLAINFIELD, IL 60586(815) 931-1280 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kendra Dawn Graham Lcsw NPPES

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

KENDRA DAWN GRAHAM LCSW (NPI 1619642055) is an individual clinical provider in Plainfield, Illinois, licensed in Illinois (149.020395) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1619642055
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKENDRA DAWN GRAHAMCredential: LCSW
Location Address2702 TELLURIDE CTPlainfield, IL 60586-6679
Mailing Address2702 Telluride CtPlainfield, IL 60586-6679 · (815) 931-1280
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateAugust 9, 2021
Last NPPES UpdateNovember 28, 2023
NPPES CertifiedNovember 28, 2023
✔ NPI 1619642055 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 IL · 149.020395
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.
2702 TELLURIDE CT, Plainfield, IL 60586

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

Kendra Dawn Graham 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 ID3173982352
PECOS Enrollment IDI20230706001586
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 Reassignments

3

Medicare enrollment records show Kendra Graham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
23908 W MAIN ST
Plainfield, IL 60544
  • Reassigned Medicare billing, Illinois enrollment
  • 9 clinicians in this Medicare group
Community/Behavioral Health
24402 W LOCKPORT RD, UNIT 2B
Plainfield, IL 60544
  • Reassigned Medicare billing, Illinois enrollment
  • 12 clinicians in this Medicare group
Professional
25224 W EAMES ST
Channahon, IL 60410
  • Reassigned Medicare billing, Illinois enrollment
  • 24 clinicians in this Medicare group

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 60586 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 $59.81 – $181.38
Typical copayment $0.00 (range $14.95 – $45.34)
Most-billed visit code NA
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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 Kendra Graham's NPI number?

The NPI number for Kendra Graham is 1619642055. It was assigned to this individual provider in the NPPES registry on August 9, 2021.

Where is Kendra Graham located?

Kendra Graham practices at 2702 Telluride Ct, Plainfield, IL 60586. The listed phone number is (815) 931-1280.

What is Kendra Graham's specialty?

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

Is Kendra Graham enrolled in Medicare?

Yes. Kendra Graham 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 organizations bill Medicare for Kendra Graham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kendra Graham reassigns Medicare benefits to 3 organizations: A New Day Counseling & Family Wellness, Inc. Nfp (Plainfield, IL), Agor Behavioral Health Services, Inc. (Plainfield, IL) and Alliance Counseling & Coaching Of Illinois, PLLC (Channahon, IL). Each 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 Kendra Graham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kendra Graham was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.