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

KENDRA BURNSIDE, LCSW

Active

KENDRA BURNSIDE, LCSW is a Clinical Social Worker healthcare provider located in LAKE RIDGE, Virginia. NPI 1548419641 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · LAKE RIDGE, VA

Registration Details

NPI Number
1548419641
Provider Type
Individual
Gender
Female
NPI Issued
Sep 12, 2008 (17.897158272931 yrs)
Last Updated
Apr 9, 2018
Licenses
3544 (OK)
0904010222 (VA)

Practice Information

Address
2241 TACKETT'S MILL DRIVE
SUITE G
LAKE RIDGE, VA, 22192
Browse VA providers · Browse ZIP 22192
Phone
7034941434
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in LAKE RIDGE, VA

Name Credential NPI
ALTHEA SIMPSON LCSW 1568742344
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.