Individual provider · Type 1 NPI

Kendra B. Quillen, LCSW

Clinical Social Worker · Johnson City, TN

NPI number 1578435749 Active

Practice location

208 E Unaka Ave
Johnson City, TN 37601-4626

Call (423) 926-0940 Map

Fax (423) 926-4202

Mailing address

1167 Spratlin Park Dr
Gray, TN 37615-6205

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X10256 (TN)

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 1578435749

Kendra B. Quillen, LCSW's National Provider Identifier is 1578435749, issued on Sep 18, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Johnson City, TN. The record was last updated on Mar 10, 2026.