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

Individual provider Clinical Social Worker · NPI 1023612975

Kentrell Deandre Washington, LCSW is a Clinical Social Worker in Milwaukee, Wisconsin. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2020
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

1732 N Prospect Ave Apt 207
Milwaukee, WI 53202-1945
Phone: (920) 728-2361
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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 12130123 (WI)

Record details

NPI number1023612975
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 22, 2020
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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