Healthcare Provider Details

I. General information

NPI: 1083530653
Provider Name (Legal Business Name): CLARE MCKENDRY LCSW, SSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13050 W CEDAR DR APT 51
LAKEWOOD CO
80228-1924
US

IV. Provider business mailing address

13050 W CEDAR DR APT 51
LAKEWOOD CO
80228-1924
US

V. Phone/Fax

Practice location:
  • Phone: 831-345-8874
  • Fax:
Mailing address:
  • Phone: 831-345-8874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: