MS. KENDRA CORNETT (NPI# 1467096370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467096370 |
| Entity Type | Individual |
| Full Name | MS. KENDRA CORNETT |
| Credential | LCSW |
| Practice Address |
3330 W 177th St Fl 1 Hazel Crest IL 60429-2184 |
| Mailing Address |
9901 S Western Ave Chicago IL 60643-1800 |
| Practice Telephone | 7087453040 |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2019-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149020165 | Behavioral Health & Social Service Providers | |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
149020165 | IL | Behavioral Health & Social Service Providers |
| Street Address |
3330 W 177TH ST FL 1 |
| City | HAZEL CREST |
| State | IL |
| Zip Code | 60429-2184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427690676 | Midwest Family and Community Resources PC | Clinic/Center | 3330 W 177th St Fl 1, Hazel Crest, IL 60429-2184 | 2019-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917987 | Nancy Sinwelski | Technician | 17305 Fisk Street, East Hazelcrest, IL 60429 | 2019-11-21 |
| 1144720871 | Plentiful Hair Studio LLC | Specialist | 17504 E Carriageway Dr Ste D, Hazel Crest, IL 60429 | 2018-02-19 |
| 1376052142 | Natalie Allen | Counselor | 3518 Birchwood Dr, Hazel Crest, IL 60429 | 2017-09-25 |
| 1730534009 | Lydena Franklin | Counselor | 1909 Cheker Square, East Hazel Crest, IL 60429 | 2016-04-25 |
| 1710331053 | Lauiren Orta | Counselor | 1901 Cheker Square, E Hazel Crest, IL 60429 | 2016-04-22 |
| 1427423367 | Andrea Leigh Warren | Nurse Practitioner | 17800 S. Kedzie Ave, Hazel Crest, IL 60429 | 2015-12-03 |
| 1770969354 | Karriem's Developmental Services | Day Training, Developmentally Disabled Services | 18513 River Road, Hazel Crest, IL 60429 | 2015-08-05 |
| 1073905170 | James Kamper | Physical Therapy Assistant | 1816 W 170th Street, Hazel Crest, IL 60429 | 2015-02-26 |
| 1194066019 | Marilyn C Scott | Psychologist | 18505 Meadow Ln., Hazel Crest, IL 60429 | 2013-03-04 |
| 1649548405 | Supported Independence | Community/Behavioral Health | 17009 Elm Drive, Hazel Crest, IL 60429 | 2011-12-08 |
| Find all providers in zip 60429 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704436 | Kelly King-holliday | Social Worker | 17212 Central Park Ave, Hazel Crest, IL 60429-1506 | 2020-09-10 |
| 1720570401 | Evisha Ford-sills | Social Worker | 17512 E Carriageway Dr Unit Abc, Hazel Crest, IL 60429-2091 | 2018-05-30 |
| 1295060226 | Jill M. Martinez | Social Worker | 3330 W 177th St Ste 1f, Hazel Crest, IL 60429-2186 | 2009-10-08 |
| 1205049194 | Robert Emil Thurman Jr. | Social Worker | 330 W. 177th Street, Suite 3f, Hazel Crest, IL 60430 | 2007-05-07 |
| 1477119014 | Milka Ramirez | Social Worker | 3330 W 177th St, Hazel Crest, IL 60429-2184 | 2019-05-17 |
| 1629472766 | Dorretta Parker | Social Worker | 3330 W 177th St, Suite 1f, Hazel Crest, IL 60429-2184 | 2014-10-17 |
| 1073916888 | Vienne Reid | Social Worker | 3330 W 177th St, Suite 1f, Hazel Crest, IL 60429-2184 | 2014-10-07 |
| 1881937563 | Lamont A Boswell | Social Worker | 3330 W 177th St, Suite 1f, Hazel Crest, IL 60429-2184 | 2013-04-01 |
| 1174861736 | Susan E Zeitner | Social Worker | 3330 W 177th St, Suite 1f, Hazel Crest, IL 60429-2184 | 2013-01-16 |
| 1144570078 | Dominique Roumain | Social Worker | 3330 W 177th St, Suite 1f, Hazel Crest, IL 60429-2184 | 2012-09-18 |
| Find all providers in HAZEL CREST | ||||
| City | HAZEL CREST |
| Zip Code | 60429 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.