Individual provider · Type 1 NPI

Kendra Marie Richardson, LCSW

Clinical Social Worker · Merritt Island, FL

NPI number 1164317830 Active

Practice location

325 Marlin Dr
Merritt Island, FL 32952-5149

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X24910 (FL)
Clinical Social Worker 1041C0700X134002 (IA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1164317830

Kendra Marie Richardson, LCSW's National Provider Identifier is 1164317830, issued on Jun 11, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Merritt Island, FL. The record was last updated on Jun 17, 2026.