Individual provider Active NPI

Amelia Jane Burkhammer, MSW, LICSW

  • Clinical Social Worker
  • Charleston, WV
National Provider Identifier
1134776610
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BP00945481 Issued in WV
Practice address
300 Kenton Dr Ste 3
Charleston, WV 25311-1266
Phone
(304) 941-6256
NPI assigned
Aug 20, 2019
Last updated
Aug 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 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 BP00945481 WV Primary

Addresses

Primary practice location

300 Kenton Dr Ste 3
Charleston, WV 25311-1266

Mailing address

300 Kenton Dr Ste 3
Charleston, WV 25311-1266
Phone (304) 941-6256

Other practice location 1

200 Kanawha Ter
Saint Albans, WV 25177-2867
Phone (304) 760-9945

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
BP00945481WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Counseling Connections PastSince Aug 1, 2019 Accepting new patients
Family Counseling Connection PastSince Aug 1, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1134776610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 KENTON DR STE 3",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253111266",
            "telephone_number": "304-941-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 KENTON DR STE 3",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253111266",
            "telephone_number": "304-941-6256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Kanawha Ter",
            "address_purpose": "LOCATION",
            "city": "Saint Albans",
            "state": "WV",
            "postal_code": "251772867",
            "country_code": "US",
            "telephone_number": "304-760-9945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKHAMMER",
        "first_name": "AMELIA",
        "middle_name": "JANE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "BP00945481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.