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Export Provider Record NPI 1356625974
Kendra N LutzowLCSW
Active
NPI Number1356625974
NPI TypeNPI-1 Individual
SpecialtySocial Worker, Clinical
Provider Details
NPI1356625974
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2011-09-30
Last Updated2025-04-18
Mailing Address51321 Avenida Bermudas Unit 897
La Quinta, CA 92253-3068
United States
Phone: (760) 397-3059
📍 View Map
Primary Practice Address81709 Dr Carreon Blvd, Ste D-1
Indio, CA 92201-5509
United States
Phone: (760) 347-2398
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No1041C0700X – Social Worker, Clinical--
Yes1041C0700X – Social Worker, ClinicalCA76327
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About NPI 1356625974

Kendra N Lutzow LCSW is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1356625974. The primary specialty listed is Social Worker, Clinical. The provider is located in Indio, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2011-09-30. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1356625974?

NPI 1356625974 belongs to Kendra N Lutzow LCSW, a Social Worker, Clinical in Indio, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1356625974 active?

The current status of NPI 1356625974 in the NPPES registry is Active. The record was last updated on 2025-04-18.

What specialty is NPI 1356625974?

NPI 1356625974 is classified under the taxonomy Social Worker, Clinical. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1356625974?

You can verify NPI 1356625974 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1356625974?

The primary practice address on file for NPI 1356625974 is 81709 Dr Carreon Blvd, Indio, CA 92201-5509. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1356625974 issued?

NPI 1356625974 was first issued (enumerated) on 2011-09-30. The NPPES record was last updated on 2025-04-18.

Practice Location Map

Kendra N Lutzow is located at 81709 Dr Carreon Blvd, Indio, CA. Use the map below to find directions or verify the practice location.

📍 81709 Dr Carreon Blvd, Indio, CA 92201-5509  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Kendra N Lutzow. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1356625974. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Social Worker, Clinical76327CA
Data Verified from CMS NPPES Last synced: 2026-08-16 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162