Kendra Marie Richardson, LCSW
NPI 1164317830ActiveIndividual· Social Worker, Clinical· Merritt Island, FL
Social Worker, Clinical (LCSW) in Merritt Island, Florida, licensed in FL and IA, with an NPI issued in June 2025. Enrolled in Medicare as practitioner - clinical social worker and practitioner - clinical social worker.
Overview
| NPI | 1164317830 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Jun 11, 2025 |
| Last updated in NPPES | Jun 17, 2026 |
| Certified by provider | Jun 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 24910 | FL |
| Social Worker, Clinical | 1041C0700X | 134002 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (AZ); Practitioner - Clinical Social Worker (DC); Practitioner - Clinical Social Worker (FL); Practitioner - Clinical Social Worker (IA) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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All 27 clinical social workers in Merritt Island · All clinical social workers in Florida