Individual provider Active NPI

Abigail Marie Burdgick, LLMSW

  • Clinical Social Worker
  • Kalamazoo, MI
National Provider Identifier
1104638501
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851118659 Issued in MI
Practice address
229 E Michigan Ave Ste 440
Kalamazoo, MI 49007-6400
Phone
(269) 254-6613
NPI assigned
Jan 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6851118659 MI Primary

Addresses

Primary practice location

229 E Michigan Ave Ste 440
Kalamazoo, MI 49007-6400

Mailing address

6439 N Sprinkle Rd
Kalamazoo, MI 49004-8646
Phone (269) 345-6943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6851118659MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kelsea a Howell PLLC Clinical CurrentSince Jan 26, 2025 Accepting new patients

Locations

229 E Michigan Ave
Ste 440
Kalamazoo, MI 49007
Phone (269) 254-6613

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1104638501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6439 N SPRINKLE RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490048646",
            "telephone_number": "269-345-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 E MICHIGAN AVE STE 440",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490076400",
            "telephone_number": "269-254-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDGICK",
        "first_name": "ABIGAIL",
        "middle_name": "MARIE",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851118659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.