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

Kyle Birdwell, LCSW

Individual provider Clinical Social Worker · NPI 1871016600

Kyle Birdwell, LCSW is a Clinical Social Worker in Hattiesburg, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2017
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

110 Patton Ave
Hattiesburg, MS 39401-6155
Phone: (601) 582-1111
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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 C8215 (MS)

Record details

NPI number1871016600
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 24, 2017
Last updated in NPPESNovember 6, 2020
Certification dateNovember 6, 2020
Mailing address104 Beverly Dr, Petal, MS 39465-3702

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