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KENDRA ROSE ARCHER LCSW
NPI 1801171947
Social Worker - Clinical in Los Angeles, CA

Active since October 20, 2011PECOS Enrolled
1031 W 34TH ST, LOS ANGELES, CA 90089(213) 740-9355 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 13, 2021, Oct 30, 2016 (2 updates tracked since 2016).

About Kendra Rose Archer Lcsw NPPES

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

KENDRA ROSE ARCHER LCSW (NPI 1801171947) is an individual clinical provider in Los Angeles, California, licensed in California (84200) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801171947
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKENDRA ROSE ARCHERCredential: LCSW
Location Address1031 W 34TH STLos Angeles, CA 90089-4015
Mailing Address939 S Hill St Apt 326Los Angeles, CA 90015-3093 · (213) 740-9355
Phone(213) 740-9355
Sole ProprietorNo
Enumeration DateOctober 20, 2011
Last NPPES UpdateDecember 13, 20212 updates tracked since enumeration
NPPES CertifiedOctober 31, 2021
✔ NPI 1801171947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 84200
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 091075 (NY)
1031 W 34TH ST, Los Angeles, CA 90089
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendra Rose Archer 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.

Medicare Billing Reassignment

Medicare enrollment records show Kendra Archer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
305 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

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 90089 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 $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 17

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

DR. DUSTIN ZACHARY NOWASKIE MD
Psychiatry & Neurology (Psychiatry)
1031 W 34TH ST
LOS ANGELES, CA 90089
Los Angeles County (213) 740-9355
DR. RICHARD LIN DDS
Dentist (Prosthodontics)
1031 W 34TH ST, SUITE 401
LOS ANGELES, CA 90089
Los Angeles County (213) 740-2012
MRS. ISABEL RAHBAR NP
Family Medicine
1031 W 34TH ST
LOS ANGELES, CA 90089
Los Angeles County (213) 740-8318
SARAH MARIE RANDAZZO LMFT
Marriage & Family Therapist
1031 W 34TH ST
LOS ANGELES, CA 90089
Los Angeles County (213) 740-7711
KELCIE KADOWAKI
Occupational Therapist
1031 W 34TH ST
LOS ANGELES, CA 90089
Los Angeles County (213) 821-6530
JI YUN KANG PH.D., LP
Psychologist
1031 W 34TH ST
LOS ANGELES, CA 90089
Los Angeles County (213) 740-9355
MR. DEVIN GOODWIN
Physical Therapist
1031 W 34TH ST, STE 450
LOS ANGELES, CA 90089
Los Angeles County (213) 740-0215
DR. SARAH ANN VAN ORMAN MD
Internal Medicine
1031 W 34TH ST
LOS ANGELES, CA 90089
Los Angeles County (213) 740-9355

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 Archer's NPI number?

The NPI number for Kendra Archer is 1801171947. It was assigned to this individual provider in the NPPES registry on October 20, 2011.

Where is Kendra Archer located?

Kendra Archer practices at 1031 W 34th St, Los Angeles, CA 90089. The listed phone number is (213) 740-9355.

What is Kendra Archer's specialty?

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

Is Kendra Archer enrolled in Medicare?

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

Which organization bills Medicare for Kendra Archer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kendra Archer reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The 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 Archer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kendra Archer accept?

Health plans from UnitedHealthcare list Kendra Archer 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 Archer was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.