Tom C. Burditt, Jr.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000209 Issued in TX

Legal business name

TOM C. BURDITT, JR.

Practice address

2630 Exposition Blvd Ste 116
Austin, TX 78703-1758

Phone

(512) 322-0209

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Tom Connolly Burditt Jr., LCSW

Title

Sole Proprietor

Phone

(512) 322-0209

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1053408658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 EXPOSITION BLVD STE 116",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787031758",
            "telephone_number": "512-322-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 EXPOSITION BLVD STE 116",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787031758",
            "telephone_number": "512-322-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM C. BURDITT, JR.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "BURDITT",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "CONNOLLY",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "512-322-0209",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "000209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00S70B",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Toll, FNP
• Julie Ellis Tollemache, D.O.
• Patricia Kerchmar Tollison, PH.D.
• Sorayya S Toloue, DC
• Tom a Hill M.D. PA
• Noel Tom
• Louisa I Tomaio, L.AC
• Ofelia Gutierrez Tomasek, RPH
• Petar Tomasevic, RN
• Christa Michelle Tomc, D.O.

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.