1. Home
  2. Directory
  3. Virginia
  4. Lake Ridge
  5. Social Worker
  6. NPI Profile

KENDRA BURNSIDE LCSW
NPI 1548419641
Social Worker - Clinical in Lake Ridge, VA

Active since September 12, 2008
2241 TACKETT'S MILL DRIVE, SUITE G, LAKE RIDGE, VA 22192(703) 494-1434 Get Directions Write a Review

NPPES record last updated: April 9, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2018, Mar 26, 2018 (2 updates tracked since 2018).

About Kendra Burnside Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENDRA BURNSIDE LCSW (NPI 1548419641) is an individual clinical provider in Lake Ridge, Virginia, licensed in Virginia (0904010222) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1548419641
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKENDRA BURNSIDECredential: LCSW
Location Address2241 TACKETT'S MILL DRIVE, SUITE GLake Ridge, VA 22192
Mailing Address2241 Tackett's Mill Drive, Suite GLake Ridge, VA 22192 · (703) 494-1534
Phone(703) 494-1434
Sole ProprietorNo
Enumeration DateSeptember 12, 2008
Last NPPES UpdateApril 9, 20182 updates tracked since enumeration
✔ NPI 1548419641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in VA · 0904010222✔ Licensed in OK · 3544
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2241 TACKETT'S MILL DRIVE, Lake Ridge, VA 22192
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kendra Burnside's NPI number?

The NPI number for Kendra Burnside is 1548419641. It was assigned to this individual provider in the NPPES registry on September 12, 2008.

Where is Kendra Burnside located?

Kendra Burnside practices at 2241 Tackett's Mill Drive Suite G, Lake Ridge, VA 22192. The listed phone number is (703) 494-1434.

What is Kendra Burnside's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kendra Burnside was last updated on April 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.