KENDRA D PHOUMIVONG LMSW
NPI 1336596931
Social Worker - Clinical in Atlanta, GA
NPI Status: Active since May 24, 2016
Contact Information
690 COURTENAY DR NE
ATLANTA, GA
ZIP 30306
Phone: (404) 875-4551
- Individual
- Female
- Social Worker
- Clinical
About KENDRA PHOUMIVONG
This page provides the complete NPI Profile along with additional information for Kendra Phoumivong, a provider established in Atlanta, Georgia with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1336596931 assigned on May 2016. The practitioner's primary taxonomy code is 1041C0700X with license number CSW006876 (GA). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1336596931
- Provider Name
- KENDRA D PHOUMIVONG LMSW
- Other Name
- KENDRA BUTLER
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 690 COURTENAY DR NE ATLANTA, GA 30306
- Location Phone
- (404) 875-4551
- Mailing Address
- 5 SUMMER LAKE WAY SAVANNAH, GA 31407
- Mailing Phone
- (912) 247-3969
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-24-2016
- Last Update Date
- 01-31-2023
- Code Navigator
A clinical social worker like Kendra Phoumivong is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- CSW006876
- License State
- GA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 104100000X | Behavioral Health & Social Service Providers | Social Worker | 8033-M (AR) |
| 2 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | 8033-C (AR) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 5 | 9 | 6 | 9 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 10 | 9 | 12 | 9 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 1 + 0 + 9 + 1 + 2 + 9 + 6 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1336596931 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1417382730 | MRS. CHRISTINA FIDDES LCSW Individual | Social Worker (Clinical) | 690 COURTENAY DR NE ATLANTA, GA 30306 (404) 875-4551 |
| 1447685334 | KATHERINE LYNN ALIOTO Individual | Social Worker (Clinical) | 690 COURTENAY DR NE ATLANTA, GA 30306 (404) 875-4551 |
| 1639574767 | MR. DEAN WAGENBRENNER LAPC Individual | Counselor (Professional) | 690 COURTENAY DR NE ATLANTA, GA 30306 (404) 875-4551 |
| 1386040269 | MISS LIANNE STEVENSON LCSW Individual | Social Worker (Clinical) | 690 COURTENAY DR NE ATLANTA, GA 30306 (404) 875-4551 |
| 1790179224 | AMY RENE LCSW Individual | Social Worker (Clinical) | 690 COURTENAY DR NE ATLANTA, GA 30306 (404) 564-0677 |
| 1851786891 | JOHN JAYSON RODRIGUEZ LAPC Individual | Counselor (Professional) | 690 COURTENAY DR NE ATLANTA, GA 30306 (404) 875-4551 |
| 1366896789 | CIARA MOORE LAPC Individual | Counselor (Professional) | 690 COURTENAY DR NE ATLANTA, GA 30306 (404) 335-8709 |
| 1336692078 | ERIN LOPEZ Individual | Social Worker | 690 COURTENAY DR NE ATLANTA, GA 30306 (404) 328-8378 |
| 1396294864 | MELISSA MCLENDON Individual | Social Worker | 690 COURTENAY DR NE ATLANTA, GA 30306 (404) 875-4557 |
| 1346795960 | MS. JULIA MICHELLE PACKER LMSW, MPH Individual | Social Worker | 690 COURTENAY DR NE ATLANTA, GA 30306 (404) 875-4551 |
| 1346779212 | MRS. DIONNE PATTERSON SMITH LPC Individual | Counselor (Professional) | 690 COURTENAY DR NE ATLANTA, GA 30306 (404) 875-4551 |
| 1073020160 | TAYLOR NICOLE WHELCHEL LAPC Individual | Counselor | 690 COURTENAY DR NE ATLANTA, GA 30306 (404) 875-4551 |
| 1801394903 | EAMONN WALSH Individual | Counselor | 690 COURTENAY DR NE ATLANTA, GA 30306 (404) 875-4551 |
| 1063910917 | WILLIAM ROY CHANCEY Individual | Social Worker (Clinical) | 690 COURTENAY DR NE ATLANTA, GA 30306 (404) 875-4551 |
| 1932601275 | LORI HOGEMAN Individual | Social Worker | 690 COURTENAY DR NE ATLANTA, GA 30306 (404) 875-4551 |
| 1639686926 | KANISHA JOHNSON MSW, LMSW Individual | Social Worker (Clinical) | 690 COURTENAY DR NE ATLANTA, GA 30306 (404) 747-6953 |
| 1215413281 | MISS ELIZABETH STIPE Individual | Social Worker | 690 COURTENAY DR NE ATLANTA, GA 30306 (404) 875-4551 |
| 1992286850 | JULIA CHRISTINA WESTOVER LMSW Individual | Social Worker | 690 COURTENAY DR NE ATLANTA, GA 30306 (678) 619-6236 |
| 1215416086 | KATHERINE MARIA GMITRO Individual | Social Worker | 690 COURTENAY DR NE ATLANTA, GA 30306 (404) 875-4551 |
| 1265908784 | GABRIEL SILVA Individual | Social Worker (Clinical) | 690 COURTENAY DR NE ATLANTA, GA 30306 (404) 875-4551 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336596931, enumerated in the NPI registry as an "individual" on May 24, 2016
The provider is located at 690 Courtenay Dr Ne Atlanta, Ga 30306 and the phone number is (404) 875-4551
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
This NPI record was last updated on May 24, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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