Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104170232 Individual Practitioner Female Practitioner

Kendall Basore , MSW, LCSW

Social Worker - Clinical • Bloomington, IN

Professional Overview & Biography Verified Profile Summary

Kendall Basore, MSW, LCSW is a registered healthcare professional specializing in Social Worker - Clinical in Bloomington, IN. Practice services are available at 445 S. LANDMARK AVE. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

445 S. Landmark Ave.

Bloomington, IN 47403

Telephone 8123533450
Fax 8123533451

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Bloomington, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.8 Yrs
State Avg: 16.6 Yrs
Regional Practice Density
201 Specialists

Practicing in Bloomington, IN (5835 Statewide)

Telehealth Adoption Rate
7.0% 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: 2020-12-16
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License MI 6801100387

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.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License IN 34006602A

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.

Social Worker

NUCC Taxonomy Code: 104100000X

State License MI 6801100387

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

33 Associated Practitioners
Patricia Lawson-Buckley , LMFT

Marriage & Family Therapist

NPI 1003836099

Licensed Marriage and Family Therapist

Amanda Lavender , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1033768569

Psychiatric-Mental Health Nurse Practitioner

Dr. Alvin Griffith , MD

Psychiatry & Neurology - Psychiatry

NPI 1063434587

Doctor of Medicine (M.D.)

Darla Christenberry , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1104632199

Nurse Practitioner

Debra Slikkers , LMHC

Counselor - Mental Health

NPI 1104900158

Licensed Mental Health Counselor

Victoria Shull , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1154919629

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 26, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 26, 2012

Registered at 445 S. LANDMARK AVE., BLOOMINGTON, IN 47403 (Tel: 8123533450)

📍
Updated Business Mailing Address October 26, 2012

Registered at 445 S. LANDMARK AVE., BLOOMINGTON, IN 47403 (Tel: 8123533450)

👤
Provider Name / Credentials Updated October 26, 2012

Recorded as KENDALL BASORE, MSW, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2012

Social Worker (License #34006602A in IN)

🟢
Initial NPI Registration & Enumeration October 26, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1104170232
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2012
Last Update: December 16, 2020
Sole Proprietor: Yes

Mailing Address

445 S. Landmark Ave.

Bloomington, IN 47403

Phone: 8123533450

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.