Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jenny Lynn Kendall, LICSW

Individual provider Clinical Social Worker · NPI 1013591692

Jenny Lynn Kendall, LICSW is a Clinical Social Worker in Moscow, Idaho. Qualified in 2005, 21 years ago. Practices as a sole proprietor. Licensed in Washington.

Years since qualifying
21
Licensed in
WA
In the registry since
2021
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

906A N Almon St
Moscow, ID 83843-8505
Phone: (208) 669-3124
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 61116361 (WA)

Record details

NPI number1013591692
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedMay 10, 2021
Last updated in NPPESMay 10, 2021
Certification dateApril 14, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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