Kimberly Tinsley Burdick, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801065333 Issued in MI

Practice address

1240 West Sanilac Rd
Suite D
Sandusky, MI 48471-9654

Phone

(810) 648-3248

Fax

(810) 648-3907

NPI assigned

Apr 6, 2007

Last updated

Jun 10, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Kimberly Sue Tinsley Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Catholic Charities of Southeast Michigan

  • Clinical Social Worker
  • Madison Heights, MI
  • NPI 1316283757

  Mental Health

  Medicare reassignment NPD
• Kimberly T Burdick,LLC

  • Clinical Social Worker
  • Sandusky, MI
  • NPI 1861706608
  Authorized official Same address or phone
• Professional Counseling Center,P.C.

  • Addiction (Substance Use Disorder) Counselor
  • Port Huron, MI
  • NPI 1225049760
  NPD (past)
• Professional Counseling Service, PLLC

  • Community/Behavioral Health Agency
  • Bad Axe, MI
  • NPI 1215195136
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276128000000",
    "number": "1073635272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 W SANILAC RD",
            "address_2": "SUITE D",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484719654",
            "telephone_number": "810-648-3248",
            "fax_number": "810-648-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 WEST SANILAC RD",
            "address_2": "SUITE D",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484719654",
            "telephone_number": "810-648-3248",
            "fax_number": "810-648-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDICK",
        "first_name": "KIMBERLY",
        "middle_name": "TINSLEY",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2010-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801065333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "TINSLEY",
            "middle_name": "SUE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rhonda Brzezinski
• Devon Marie Buiting
• Madelynn Bukoski
• Rebekah Kayleen Bulgrien
• Jessica Bungart
• Anthony M Burdua, DDS
• Megan S Burgess, FNP-C
• Mackenzie Joanne Burns, DDS
• Elizabeth Marie Bushey, RN
• Veronica A Byrne, PHYSICAL THERAPIST

• Clinical Social Worker in Sandusky, MI
• Providers in Sandusky, 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 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.