Individual provider · Type 1 NPI

Kendra Burnside, LCSW

Clinical Social Worker · Lake Ridge, VA

NPI number 1548419641 Active

Practice location

2241 Tackett's Mill Drive, Suite G
Lake Ridge, VA 22192

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X3544 (OK)
Clinical Social Worker Primary 1041C0700X0904010222 (VA)

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 1548419641

Kendra Burnside, LCSW's National Provider Identifier is 1548419641, issued on Sep 12, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lake Ridge, VA. The record was last updated on Apr 9, 2018.