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KATHRYN JEAN KENDJELIC ISW
NPI 1790551125
Social Worker - Clinical in Jacksonville, FL

Active since November 27, 2023
11555 CENTRAL PKWY STE 701, JACKSONVILLE, FL 32224(937) 305-4380 Get Directions Write a Review

NPPES record last updated: December 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathryn Jean Kendjelic Isw NPPES

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

KATHRYN JEAN KENDJELIC ISW (NPI 1790551125) is an individual clinical provider in Jacksonville, Florida, licensed in Florida (ISW19456) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1790551125
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHRYN JEAN KENDJELICCredential: ISW
Location Address11555 CENTRAL PKWY STE 701Jacksonville, FL 32224-2699
Mailing Address4263 Losco Rd Apt 523Jacksonville, FL 32257-1450 · (937) 305-4380
Phone(937) 305-4380
Sole ProprietorYes
Enumeration DateNovember 27, 2023
Last NPPES UpdateDecember 9, 2023
NPPES CertifiedDecember 9, 2023
✔ NPI 1790551125 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 FL · ISW19456
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.
11555 CENTRAL PKWY STE 701, Jacksonville, FL 32224
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Other Providers at the Same Location NPPES 5

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

REBECCA ELIZABETH FELICO LCSW
Social Worker (Clinical)
11555 CENTRAL PKWY STE 701
JACKSONVILLE, FL 32224
Duval County (904) 209-9534
ALYSSA RILEY
Social Worker
11555 CENTRAL PKWY STE 701
JACKSONVILLE, FL 32224
Duval County (619) 316-5343
JAIME HOYMAN
Counselor (Mental Health)
11555 CENTRAL PKWY STE 701
JACKSONVILLE, FL 32224
Duval County (904) 704-2527
JESSICA LYNN FENOUIL
Massage Therapist
11555 CENTRAL PKWY STE 701
JACKSONVILLE, FL 32224
Duval County (904) 537-2064
VANESSA TRACZ
Counselor (Mental Health)
11555 CENTRAL PKWY STE 701
JACKSONVILLE, FL 32224
Duval County (904) 704-2527

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 Kathryn Kendjelic's NPI number?

The NPI number for Kathryn Kendjelic is 1790551125. It was assigned to this individual provider in the NPPES registry on November 27, 2023.

Where is Kathryn Kendjelic located?

Kathryn Kendjelic practices at 11555 Central Pkwy Ste 701, Jacksonville, FL 32224. The listed phone number is (937) 305-4380.

What is Kathryn Kendjelic'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 Kathryn Kendjelic was last updated on December 9, 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.