KENDRA MINA LCSW
NPI 1962283770
Social Worker in Chattanooga, TN

Q: What is Kendra Mina's NPI number?

The NPI number for Kendra Mina is 1962283770. It was assigned to this individual provider in the NPPES registry on October 9, 2023.

Q: What is Kendra Mina's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Kendra Mina was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.

Active since October 09, 2023PECOS Enrolled

3309 CUMMINGS HWY STE 110, CHATTANOOGA, TN 37419(423) 521-2735 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kendra Mina Lcsw NPPES

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

KENDRA MINA LCSW (NPI 1962283770) is an individual social worker in Chattanooga, Tennessee, licensed in Tennessee (9132) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1962283770

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameKENDRA MINACredential: LCSW

Location Address3309 CUMMINGS HWY STE 110Chattanooga, TN 37419-2438

Mailing Address5555 Hixson Pike Apt 207Hixson, TN 37343-3202 · (423) 521-2735

Phone(423) 521-2735

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 9, 2023

Last NPPES UpdateOctober 21, 2024

NPPES CertifiedOctober 21, 2024

✔ NPI 1962283770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in TN · 9132

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 9132 (TN)

3309 CUMMINGS HWY STE 110, Chattanooga, TN 37419

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, Providence Health Plan and more.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 Mina Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507341617

PECOS Enrollment IDI20260326003025

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.

Other Providers at the Same Location NPPES 6

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

ARDEN SHANKLIN MA

Counselor (Mental Health)