Individual provider · Type 1 NPI

Virginia Pemberton Patton Kinkade, LCSW

Clinical Social Worker · Ada, OK

NPI number 1730311291 Active

Practice location

124 E Main St Suite 2, The Chickasaw Nation Dept Of Family Services
Ada, OK 74820

Fax (405) 878-4708

Mailing address

210 E Main St, Resource Management
Ada, OK 74820

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700X4854 (OK)

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 1730311291

Virginia Pemberton Patton Kinkade, LCSW's National Provider Identifier is 1730311291, issued on Aug 18, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ada, OK. The record was last updated on Jul 21, 2022.