Individual provider · Type 1 NPI
Kendra Jamila Pendergraph
Clinical Social Worker · Wilmington, NC
Practice location
1608 Queen St Ste 114
Wilmington, NC 28401-5527
Mailing address
301 W Willowood Ln
Jacksonville, NC 28546-7927
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | P14023 (NC) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1194364950
Kendra Jamila Pendergraph's National Provider Identifier is 1194364950, issued on Dec 27, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wilmington, NC. The record was last updated on Dec 27, 2019.