Judith Reisz Burk, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 0103 Issued in KY

Practice address

544 Main St
Suite 3
Shelbyville, KY 40065-1120

Phone

(502) 682-7647

NPI assigned

Sep 5, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1124377254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 ASHBOURNE DR",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400657394",
            "telephone_number": "502-682-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 MAIN ST",
            "address_2": "SUITE 3",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651120",
            "telephone_number": "502-682-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURK",
        "first_name": "JUDITH",
        "middle_name": "REISZ",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "LCSW 0103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Bruton
• Jennifer Leann Buchanan, TCADC
• John W. Burckle, P.A.-C.
• Rhonda Lynn Burden, CSFA, KCSA
• Taylor Paige Burge, PA
• Sydni Brooke Burton
• William Byrd, DPT
• Taylor Callin
• Breanna Campbell
• Kara Lynn Cannon, PT

• Clinical Social Worker in Shelbyville, KY
• Providers in Shelbyville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.