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

Kendra Marie Richardson, LCSW

Individual provider Clinical Social Worker · NPI 1164317830

Kendra Marie Richardson, LCSW is a Clinical Social Worker in Merritt Island, Florida. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Florida and Iowa.

Years since qualifying
4
Licensed in
FL, IA
In the registry since
2025
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.

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Practice location Address checks out

325 Marlin Dr
Merritt Island, FL 32952-5149
Phone: (321) 470-9322
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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 24910 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 134002 (IA)

Record details

NPI number1164317830
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 11, 2025
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Merritt Island