Individual
KENDRA D PHOUMIVONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
690 COURTENAY DR NE, ATLANTA, GA 30306-3421
(404) 875-4551
Mailing address
5 SUMMER LAKE WAY, SAVANNAH, GA 31407-3534
(912) 247-3969
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
8033-M
AR
1041C0700X
Clinical Social Worker
8033-C
AR
1041C0700X
Clinical Social Worker
Primary
CSW006876
GA
Other
Enumeration date
05/24/2016
Last updated
01/31/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us