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

KASMYNE PENDER, LMSW, LCSW

Active

Clinical Social Worker · FORT RICHARDSON, AA

Registration Details

NPI Number
1336892561
Provider Type
Individual
Gender
Male
NPI Issued
Jan 28, 2022 (4.2927929210882 yrs)
Last Updated
Apr 6, 2023
Licenses
0903002915 (VA)
P015343 (NC)
C015741 (NC)

Practice Information

Address
688 6TH STREET
FORT RICHARDSON, AA, 99505
Browse AA providers · Browse ZIP 99505
Phone
9073842927
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
School Social Worker
Additional Specialty
Clinical Social Worker
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.