Active NPI
Vitality Clinical Services, PLLC
- Clinical Social Worker
- Greenville, NC
National Provider Identifier
1366004848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- VITALITY CLINICAL SERVICES, PLLC
- Practice address
- 300 E Arlington Blvd Ofc 9
Greenville, NC 27858-5037 - Phone
- (252) 220-0288
- NPI assigned
- Jul 3, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kendrick Burden, LCSW, LCAS
- Title
- Member/Owner
- Phone
- (252) 717-3117
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X |
Addresses
Primary practice location
300 E Arlington Blvd Ofc 9
Greenville, NC 27858-5037
Mailing address
300 E Arlington Blvd Ste 3B
Greenville, NC 27858-5024
Phone (252) 220-0288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200612001766 | NC | Part B Supplier - Clinic/Group Practice | 2466874821 | Practice locations: Greenville, NC |
National Provider Directory
National Provider DirectoryLocations
300 E Arlington Blvd
Ofc 9
Greenville, NC 27858
Phone (252) 220-0288
2325 Sadler Dr
#A
Winterville, NC 28590
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Greenville, NC
- NPI 1386145795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788220800000",
"number": "1366004848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E ARLINGTON BLVD STE 3B",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585024",
"telephone_number": "252-220-0288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E ARLINGTON BLVD OFC 9",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585037",
"telephone_number": "252-220-0288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITALITY CLINICAL SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-03",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A",
"authorized_official_last_name": "BURDEN",
"authorized_official_first_name": "KENDRICK",
"authorized_official_title_or_position": "MEMBER/OWNER",
"authorized_official_telephone_number": "252-717-3117",
"authorized_official_credential": "LCSW, LCAS"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "3245S0500X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.