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General NPI Number Information
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NPI Number | 1063781441
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Entity Type | Individual
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Provider Name | JENNIFER IRENE SCHINKE KENDRICK LISW
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Gender | Female
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Dates
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Enumeration Date | 12/14/2011
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 940 WILLARDS LN
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City | BRANDENBURG
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State | KY
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Zip | 40108-6326
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Country | US
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Telephone | 502-203-9197
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Fax |
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Provider Business Mailing Address
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Address Line | 940 WILLARDS LN
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City | BRANDENBURG
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State | KY
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Zip | 40108-6326
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Country | US
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Telephone | 502-203-9197
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 253717
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34006806A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 104363
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 104353
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.2305023
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License Number State | OH
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