Individual provider · Type 1 NPI

Kimberly Shawn Underdue, LCSW

Clinical Social Worker · Stockbridge, GA

NPI number 1356575476 Active

Practice location

165 Burke St, Suite 109
Stockbridge, GA 30281-3463

Mailing address

1071 Laurel Ridge Dr
Mcdonough, GA 30252-8432

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW004368 (GA)

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 1356575476

Kimberly Shawn Underdue, LCSW's National Provider Identifier is 1356575476, issued on May 4, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Stockbridge, GA. The record was last updated on Dec 14, 2010.