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

Kathryn Jean Kendjelic, ISW

Individual provider Clinical Social Worker · NPI 1790551125

Kathryn Jean Kendjelic, ISW is a Clinical Social Worker in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

11555 Central Pkwy Ste 701
Jacksonville, FL 32224-2699
Phone: (937) 305-4380
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ISW19456 (FL)

Record details

NPI number1790551125
Entity typeIndividual (Type 1)
GenderFemale
Credentials ISW
Sole proprietorYes
NPI enumeratedNovember 27, 2023
Last updated in NPPESDecember 9, 2023
Certification dateDecember 9, 2023

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