KENDRA RIDER – Clinical Social Worker, NPI 1578976056

KENDRA RIDER is a healthcare provider. based in Celina, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold a License No. I.1303535 (OH). The NPI Number for KENDRA RIDER is 1578976056

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
KENDRA RIDER
NPI
1578976056
Phone
(419) 584-1000
Address
4761 STATE ROUTE 29
Enumeration Date
3 June 2014
Last Update Date
3 June 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4195845123
Graduation Year
2005 (21 years ago)
PAC ID
7810276664
Group Practice PAC ID
3971880121
Professional Enrollment ID
I20161117002361
Address ID
OH458221729CE112XXSTXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

Provider Addresses for KENDRA RIDER

  • 4761 STATE ROUTE 29

    CELINA, OH 458228216

    Phone: (419) 584-1000

    Fax: (419) 584-1825

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-11-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161117002361IClinical Social WorkerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour18518$0
90791Psychiatric diagnostic evaluation1111$0
View full utilization report →

Insurance plans in this area (ZIP 45822)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971880121View full group profile
NameSpecialtyState
Clinical Social WorkerOH
Mental Health CounselorOH
Clinical Social WorkerOH
Clinical Social WorkerOH
Mental Health CounselorOH
Clinical Social WorkerOH
Clinical Social WorkerOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH

Reviews

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Frequently asked questions

What federal number belongs to KENDRA RIDER?
The federal identifier for KENDRA RIDER is NPI 1578976056.
Is KENDRA RIDER's NPI currently valid?
The extract we use shows KENDRA RIDER as active.
What field does KENDRA RIDER work in?
You can think of KENDRA RIDER as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is KENDRA RIDER's primary listing?
We display Celina, Ohio because that is what the record indicates for KENDRA RIDER.
How can I contact KENDRA RIDER?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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