Individual provider · Type 1 NPI

Kyle Birdwell, LCSW

Clinical Social Worker · Hattiesburg, MS

NPI number 1871016600 Active

Practice location

110 Patton Ave
Hattiesburg, MS 39401-6155

Call (601) 582-1111 Map

Mailing address

104 Beverly Dr
Petal, MS 39465-3702

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC8215 (MS)

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 1871016600

Kyle Birdwell, LCSW's National Provider Identifier is 1871016600, issued on Jul 24, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hattiesburg, MS. The record was last updated on Nov 6, 2020.