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

Kendra Elizabeth Wickline, LCSW, LAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1134608532

Kendra Elizabeth Wickline, LCSW, LAC is a Clinical Social Worker in Lafayette, Colorado. Qualified in 2019, 7 years ago. Practices with Heart Centered Counseling PC, a 295-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
7
Licensed in
CO
In the registry since
2018
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

See every abbreviation used in this directory →

Practice location Address checks out

1455 Dixon Ave
Lafayette, CO 80026-8879
Phone: (303) 443-8500
Show map & directions

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

Additional practice locations (1)

  • 375 E Horsetooth Rd Bldg 3101, Fort Collins, CO 80525-3197 — (970) 310-3406

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW.09927949 (CO)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence ACD.0001819 (CO)

Record details

NPI number1134608532
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , LAC
Sole proprietorNo
NPI enumeratedAugust 7, 2018
Last updated in NPPESNovember 26, 2025
Certification dateNovember 26, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Heart Centered Counseling Pc — 295 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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