Mindy Ellen Bursten, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW2986 Issued in FL

Practice address

11700 N 58TH St Ste F
Temple Terrace, FL 33617-1666

Phone

(813) 988-6981

Fax

(813) 988-6983

NPI assigned

Feb 5, 2007

Last updated

Oct 28, 2015By 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

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1134268584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 N 58TH ST STE F",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336171666",
            "telephone_number": "813-988-6981",
            "fax_number": "813-988-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 N 58TH ST STE F",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336171666",
            "telephone_number": "813-988-6981",
            "fax_number": "813-988-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURSTEN",
        "first_name": "MINDY",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW2986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Miracle Grace Buie
• Kaila Elizabeth Bullard, RBT
• Amy Elizabeth Burk, APRN
• Jada Olivia Burns
• Emily Rose Burroughs, PA-C
• Mia Anneliese Bush
• Alan Edward Butler, ATC, LAT, PTA
• Camila Cabrera
• Luz E Cabrera, D.M.D.
• Matthew Callahan, PTA

• Clinical Social Worker in Temple Terrace, FL
• Providers in Temple Terrace, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.