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

Virginia Pemberton Patton Kinkade, LCSW

Individual provider Social Worker · NPI 1730311291

Virginia Pemberton Patton Kinkade, LCSW is a Clinical Social Worker in Ada, Oklahoma. Qualified in 2011, 15 years ago. Practices with Citizen Potawatomi Nation, a 35-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
15
Licensed in
OK
In the registry since
2009
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

124 E Main St Ste 2 The Chickasaw Nation Dept OF Family Services
Ada, OK 74820
Phone: (580) 310-7993
Fax: (405) 878-4708
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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 4854 (OK)
Social Worker Taxonomy 104100000X (OK)

Record details

NPI number1730311291
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 18, 2009
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Citizen Potawatomi Nation — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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