Doctor Name: | MISS KIMBERLY BURNHAM DENSON |
NPI Number: | 1013017904 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | C6481 |
Business Practice Address: | 299 Highway 51 Ste F2 Ridgeland, MS - 391573424 |
Business Phone Number: | 6017909266 |
Business Fax Number: | 6017909267 |
Mailing Address: | 299 Highway 51 Ste F2, RIDGELAND |
State: | MS |
Postal Code: | 391573424 |
Phone Number: | 6017909266 |
Fax Number: | 6017909267 |
NPI Enumeration Date: | 09/22/2006 |
NPI Last Update Date: | 11/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C6481 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |