Healthcare Provider Details

I. General information

NPI: 1285590224
Provider Name (Legal Business Name): KANESHA N SPRINGER LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2026
Last Update Date: 01/03/2026
Certification Date: 01/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 BEACON PKWY W STE 107
BIRMINGHAM AL
35209-3129
US

IV. Provider business mailing address

PO BOX 36451
HOOVER AL
35236-6451
US

V. Phone/Fax

Practice location:
  • Phone: 205-407-5002
  • Fax: 205-533-9681
Mailing address:
  • Phone: 205-407-5002
  • Fax: 205-533-9681

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6623C
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: