What is Kendon Ellerman's NPI number?

Kendon Ellerman's National Provider Identifier (NPI) is 1104792860, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kendon Ellerman's specialty?

Kendon Ellerman is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).

Where is Kendon Ellerman located?

Kendon Ellerman's practice location on file with NPPES is 108 Victoria Dr, Hattiesburg, MS 39402-3439.

What is Kendon Ellerman's phone number?

The practice phone number listed in the NPPES registry for Kendon Ellerman is (228) 861-8870.

Is Kendon Ellerman's NPI active?

Yes — Kendon Ellerman's NPI (1104792860) is active in the NPPES registry as of the last update on 2025-10-10.

IndividualActive

Kendon Ellerman

NPI 1104792860 · Clinical Social Worker · Hattiesburg, MS

Kendon Ellerman is a Clinical Social Worker provider in Hattiesburg, MS (NPI 1104792860).

Provider details

NPI number: 1104792860
Entity type: Individual
Primary specialty: Clinical Social WorkerBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: Yes
License: C7432 (MS)

Specialties & taxonomies

Clinical Social WorkerPrimary1041C0700XLicense C7432 (MS)
Behavioral Health & Social Service Providers

Profile Score

Established profile(54/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

108 Victoria Dr

Hattiesburg, MS 39402-3439

Phone: (228) 861-8870

Street-level locationGet directions

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Mailing address