Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164087599 Individual Practitioner Female Practitioner

Kendra Elise Nelson

Social Worker • Lodi, CA

Professional Overview & Biography Verified Profile Summary

Kendra Nelson is a registered healthcare professional specializing in Social Worker in Lodi, CA. Practice services are available at 3 S PACIFIC AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3 S Pacific Ave

Lodi, CA 952423020

Telephone 2093317822

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Lodi, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Lodi, CA (10507 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-28
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License CA ASW73318

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Souria Haddad , EdD

Psychologist - School

NPI 1538990775

Doctor of Education (Ed.D.)

Ivan Tunnell

Counselor - School

NPI 1629806070

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated February 28, 2025

Recorded as KENDRA NELSON

NPI Profile Active May 01, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 01, 2019

Registered at 3 S PACIFIC AVE, LODI, CA 952423020 (Tel: 2093317822)

📍
Updated Business Mailing Address May 01, 2019

Registered at 13451 N EXTENSION RD, LODI, CA 952429249 (Tel: 2093317822)

👤
Provider Name / Credentials Updated May 01, 2019

Recorded as KENDRA MIKAWA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2019

Social Worker (License #ASW73318 in CA)

🟢
Initial NPI Registration & Enumeration May 01, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164087599
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2019
Last Update: February 28, 2025
Sole Proprietor: No

Mailing Address

13451 N Extension Rd

Lodi, CA 952429249

Phone: 2093317822

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.