Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kendra Burnside, LCSW

Individual provider Clinical Social Worker · NPI 1548419641

Kendra Burnside, LCSW is a Clinical Social Worker in Lake Ridge, Virginia. Licensed in Oklahoma and Virginia. Registered with an NPI since 2008.

Licensed in
OK, VA
In the registry since
2008
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2241 Tackett's Mill Dr Ste G
Lake Ridge, VA 22192
Phone: (703) 494-1434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0904010222 (VA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 3544 (OK)

Record details

NPI number1548419641
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 12, 2008
Last updated in NPPESApril 9, 2018
Mailing address2241 Tackett'S Mill Drive, Suite G, Lake Ridge, VA 22192

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