Provider Demographics
NPI:1386401107
Name:KONRADY, KENDRA JEAN (LCSW)
Entity type:Individual
Prefix:
First Name:KENDRA
Middle Name:JEAN
Last Name:KONRADY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4065 SW NORMANDY DR
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64082-4764
Mailing Address - Country:US
Mailing Address - Phone:816-830-9755
Mailing Address - Fax:
Practice Address - Street 1:4065 SW NORMANDY DR
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64082-4764
Practice Address - Country:US
Practice Address - Phone:816-830-9755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20220144111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical