Individual provider · Type 1 NPI

Kjerstan Montgomerie Maree Pendleton

Clinical Social Worker · Shelbyville, IN

NPI number 1396571469 Active

Practice location

30 W Rampart Rd, Suite #160
Shelbyville, IN 46176

Mailing address

30 W Rampart St Ste 160
Shelbyville, IN 46176-8845

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34011430A (IN)

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 1396571469

Kjerstan Montgomerie Maree Pendleton's National Provider Identifier is 1396571469, issued on Sep 13, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Shelbyville, IN. The record was last updated on Sep 17, 2026.