Kendra Burnside, LCSW is a
Social Worker - Clinical based in Lake Ridge, Virginia. Kendra Burnside is licensed to practice in Virginia (license number 0904010222) and her current practice location is
2241 Tackett's Mill Drive, Suite G, Lake Ridge, Virginia. She can be reached at her office (for appointments etc.) via phone at
(703) 494-1434.
NPI number for Kendra Burnside is 1548419641 and her current mailing address is 2241 Tackett's Mill Drive, Suite G, Lake Ridge, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548419641.
Healthcare Provider's Profile
Full Name | Kendra Burnside |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2241 Tackett's Mill Drive, Lake Ridge, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548419641
- Provider Enumeration Date: 09/12/2008
- Last Update Date: 04/09/2018
Medical Identifiers
Medical identifiers for Kendra Burnside such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548419641 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 3544 (Oklahoma) | Secondary |
1041C0700X | Social Worker - Clinical | 0904010222 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kendra Burnside is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kendra Burnside, LCSW 2241 Tackett's Mill Drive, Suite G, Lake Ridge, VA 22192 Ph: (703) 494-1534 | Kendra Burnside, LCSW 2241 Tackett's Mill Drive, Suite G, Lake Ridge, VA 22192 Ph: (703) 494-1434 |
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