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

Kendra B Quillen, LCSW

Individual provider Clinical Social Worker · NPI 1578435749

Kendra B Quillen, LCSW is a Clinical Social Worker in Johnson City, Tennessee. Qualified in 2023, 3 years ago. Licensed in Tennessee.

Years since qualifying
3
Licensed in
TN
In the registry since
2025
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

208 E Unaka Ave
Johnson City, TN 37601-4626
Phone: (423) 926-0940
Fax: (423) 926-4202
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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 10256 (TN)

Record details

NPI number1578435749
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 18, 2025
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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