Individual provider Active NPI

Sherry Burnette, MSW, MPH, PH.D.

  • Clinical Social Worker
  • Bridgeville, PA
National Provider Identifier
1144548371
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW008067L Issued in PA
Practice address
3117 Washington Pike
Suite 200
Bridgeville, PA 15017-1434
Phone
(412) 221-1091
NPI assigned
May 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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 SW008067L PA Primary

Addresses

Primary practice location

3117 Washington Pike
Suite 200
Bridgeville, PA 15017-1434

Mailing address

3117 Washington Pike
Suite 200
Bridgeville, PA 15017-1434
Phone (412) 221-1091

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
SW008067LPAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Healthcare Services Past Accepting new patients
Freedom Healthcare Services Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1144548371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 WASHINGTON PIKE",
            "address_2": "SUITE 200",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171434",
            "telephone_number": "412-221-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 WASHINGTON PIKE",
            "address_2": "SUITE 200",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171434",
            "telephone_number": "412-221-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETTE",
        "first_name": "SHERRY",
        "name_prefix": "Dr.",
        "credential": "MSW, MPH, PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW008067L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.