Leona Mickles-Burnes, ACSW, PHD., LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801046764 Issued in MI

Practice address

2122 15 Mile Rd Ste B
Sterling Heights, MI 48310-4853

Phone

(586) 264-3692

Fax

(586) 939-5953

NPI assigned

Jun 17, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1043659600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 15 MILE RD STE B",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104853",
            "telephone_number": "586-264-3692",
            "fax_number": "586-939-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 15 MILE RD STE B",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104853",
            "telephone_number": "586-264-3692",
            "fax_number": "586-939-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKLES-BURNES",
        "first_name": "LEONA",
        "name_prefix": "Dr.",
        "credential": "ACSW, PHD., LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801046764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.