Provider Demographics
NPI:1063781441
Name:KENDRICK, JENNIFER IRENE SCHINKE (MSSW/MFT)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:IRENE SCHINKE
Last Name:KENDRICK
Suffix:
Gender:F
Credentials:MSSW/MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 WILLARDS LN
Mailing Address - Street 2:
Mailing Address - City:BRANDENBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40108-6326
Mailing Address - Country:US
Mailing Address - Phone:502-203-9197
Mailing Address - Fax:
Practice Address - Street 1:940 WILLARDS LN
Practice Address - Street 2:
Practice Address - City:BRANDENBURG
Practice Address - State:KY
Practice Address - Zip Code:40108-6326
Practice Address - Country:US
Practice Address - Phone:502-203-9197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-14
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34006806A1041C0700X
KY104363106H00000X
KY104353106H00000X
KY2537171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1891237442OtherGROUP NPI
KY7100266280Medicaid