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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENDRA D PHOUMIVONG, LMSW

Active

KENDRA D PHOUMIVONG, LMSW is a Clinical Social Worker healthcare provider located in ATLANTA, Georgia. NPI 1336596931 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · ATLANTA, GA

Registration Details

NPI Number
1336596931
Provider Type
Individual
Gender
Female
NPI Issued
May 24, 2016 (10.20408057957 yrs)
Last Updated
Jan 31, 2023
Licenses
8033-M (AR)
8033-C (AR)
CSW006876 (GA)

Practice Information

Address
690 COURTENAY DR NE
ATLANTA, GA, 303063421
Browse GA providers · Browse ZIP 30306
Phone
4048754551
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in ATLANTA, GA

Name Credential NPI
CHARLENE SMILEY CRAFTON LCSW 1457351470
DR. EUGENE HERRINGTON PH.D 1427059856
JOSETTE M SMITH LCSW 1033104450
JOYCE ANN MCLENDON M.S.W., LCSW 1841285285
MS. STACIE E FITZGERALD LCSW 1205821188
MS. HELISE SHERI SANDBORN LCSW 1699762013
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.