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KENDRA JACKIMCZYK LCSW
NPI 1780732990
Social Worker - Clinical in Mesa, AZ

Active since January 08, 2007PECOS Enrolled
7364 E NOPAL AVE, MESA, AZ 85209(480) 495-7979 Get Directions Write a Review

NPPES record last updated: February 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 15, 2019, Jan 19, 2016 (2 updates tracked since 2016).

About Kendra Jackimczyk Lcsw NPPES

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

KENDRA JACKIMCZYK LCSW (NPI 1780732990) is an individual clinical provider in Mesa, Arizona, licensed in Arizona (LCSW-10166) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Gilbert.

NPPES Registry Identity

NPI1780732990
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKENDRA JACKIMCZYKCredential: LCSW
Location Address7364 E NOPAL AVEMesa, AZ 85209-7220
Mailing Address7364 E Nopal AveMesa, AZ 85209-7220 · (480) 495-7979
Phone(480) 495-7979
Sole ProprietorNo
Enumeration DateJanuary 8, 2007
Last NPPES UpdateFebruary 15, 20192 updates tracked since enumeration
✔ NPI 1780732990 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 AZ · LCSW-10166
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.
7364 E NOPAL AVE, Mesa, AZ 85209
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Secondary Practice Location 1

Location 1140 S Gilbert RdGilbert, AZ 85296-1016 · Phone (480) 497-3300

Other Identifiers 1

Medicaid687296AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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)

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

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 85209 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 $55.44 – $168.60
Typical copayment $0.00 (range $13.86 – $42.15)
Most-billed visit code NA
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 Jackimczyk's NPI number?

The NPI number for Kendra Jackimczyk is 1780732990. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Kendra Jackimczyk located?

Kendra Jackimczyk practices at 7364 E Nopal Ave, Mesa, AZ 85209. The listed phone number is (480) 495-7979.

What is Kendra Jackimczyk's specialty?

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

Is Kendra Jackimczyk enrolled in Medicare?

Yes. Kendra Jackimczyk is registered in the Medicare PECOS enrollment system.

What insurance does Kendra Jackimczyk accept?

Health plans from Blue Cross Blue Shield of Arizona list Kendra Jackimczyk 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 Kendra Jackimczyk was last updated on February 15, 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.