Individual
MS. KIMBERLY SHAWN UNDERDUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
165 BURKE ST, SUITE 109, STOCKBRIDGE, GA 30281-3463
(770) 389-9886
Mailing address
1071 LAUREL RIDGE DR, MCDONOUGH, GA 30252-8432
(678) 851-9509
(678) 623-3748
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004368
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
315091169A
—
GA
Enumeration date
05/04/2009
Last updated
12/14/2010
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