Individual
RICHARD B KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW LCSW
Contact information
Practice address
1570 WAVERLY RD, HOLSTON COUNSELING SERVICES, KINGSPORT, TN 37664
(423) 224-1300
(423) 224-1375
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3696
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW617
TN
1041C0700X
Clinical Social Worker
LCSW617
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0096965
MAGELLAN NAVIGATOR
—
01
—
089854
ANTHEM PREF TRIGON
—
01
—
13052
UBH HEALTHPLAN
—
01
—
334969
VALUE OPTIONS
—
05
—
3920015
—
TN
05
—
3920247
—
TN
Enumeration date
08/14/2006
Last updated
09/11/2025
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