KENDALL TODD CARMAN-WAGNER (LICSW) – Clinical Social Worker, NPI 1962552844
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,397 CLINICAL SOCIAL WORKER in WA
Provider Addresses for KENDALL TODD CARMAN-WAGNER (LICSW)
350 EQUESTRIAN WAY
WALLA WALLA, WA 993626220
Phone: (509) 529-1496
Type: Mailing
1012 S 3RD ST
DAYTON, WA 993281606
Phone: (509) 382-2531
Type: Location
29 JUBILEE CIR
PRESCOTT, WA 993488607
Phone: (509) 749-2103
Fax: (509) 749-2076
Type: Location
1635, Cambridge Drive, Walla Walla, Walla Walla County, Washington, 99362, United States
WALLA WALLA, WA 993622538
Phone: (509) 529-1496
Type: Mailing
29 Jubilee Cir
Prescott, WA 993488607
Phone: (509) 749-2103
Fax: (509) 749-2076
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2023-09-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230926003686 | I | Clinical Social Worker | WA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99362)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ID | |
| Physician Assistant | WA | |
| Diagnostic Radiology | MT | |
| Family Practice, Internal Medicine | ID | |
| Physician Assistant | WA | |
| Family Practice | WA | |
| Diagnostic Radiology | WA | |
| Nurse Practitioner | ID | |
| - | WA | |
| Diagnostic Radiology | CO |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.