Individual provider · Type 1 NPI

Kimberly Pendergrass, LICSW

Clinical Social Worker · Seattle, WA

NPI number 1598015950 Active

Practice location

2600 S. W. Holden Street
Seattle, WA 98126

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLW60098294 (WA)

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 1598015950

Kimberly Pendergrass, LICSW's National Provider Identifier is 1598015950, issued on Sep 13, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Seattle, WA. The record was last updated on Sep 13, 2012.