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

Individual provider Clinical Social Worker · NPI 1104170232

Mrs. Kendall Basore, MSW, LCSW is a Clinical Social Worker in Bloomington, Indiana. Practices as a sole proprietor. Licensed in Indiana and Michigan.

Licensed in
IN, MI
In the registry since
2012
Specialties on file
3
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

445 S Landmark Ave
Bloomington, IN 47403
Phone: (812) 353-3450
Fax: (812) 353-3451
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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 6801100387 (MI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 34006602A (IN)
Social Worker Taxonomy 104100000X · Licence 6801100387 (MI)

Record details

NPI number1104170232
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorYes
NPI enumeratedOctober 26, 2012
Last updated in NPPESDecember 16, 2020
Certification dateDecember 16, 2020

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