Individual provider Active NPI

Darcie Burdick

  • Clinical Social Worker
  • Jackson, MI
National Provider Identifier
1164898458
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801106385 Issued in MI
Practice address
2540 Spring Arbor Rd
Jackson, MI 49203-3602
Phone
(517) 888-4790
NPI assigned
Aug 20, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801100984 MI
Clinical Social Worker 1041C0700X 6801106385 MI Primary

Addresses

Primary practice location

2540 Spring Arbor Rd
Jackson, MI 49203-3602

Mailing address

PO Box 22
Parma, MI 49269-0022

Other practice location 1

1206 Clinton Rd
Jackson, MI 49202-2005
Phone (517) 783-4250

Other practice location 2

2652 Spring Arbor Rd
Jackson, MI 49203
Phone (517) 812-0241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20240328002046 MI Practitioner - Clinical Social Worker 3870930647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2540 Spring Arbor Rd
Jackson, MI 49203-3602
Phone (517) 888-4790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801100984MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Darcie Burdick, PLLC Clinical CurrentSince Mar 13, 2024 Accepting new patients
Chrysalis Psychological Services, PLLC PastSince Sep 23, 2024 Accepting new patients

Locations

2652 Spring Arbor Rd
Jackson, MI 49203
Phone (313) 883-9031

2540 Spring Arbor Rd
Jackson, MI 49203
Phone (517) 262-0637

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": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1164898458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22",
            "city": "PARMA",
            "state": "MI",
            "postal_code": "492690022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 SPRING ARBOR RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033602",
            "telephone_number": "517-888-4790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1206 Clinton Rd",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492022005",
            "country_code": "US",
            "telephone_number": "517-783-4250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2652 Spring Arbor Rd",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "49203",
            "country_code": "US",
            "telephone_number": "517-812-0241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURDICK",
        "first_name": "DARCIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801100984",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.