Anntonnette Laticea Burden, LBSW
Individual provider Active NPI Social Worker · Oxford, MI
NPI 1215282736 · NPPES record last updated Jan 7, 2014
Key facts
- NPI
- 1215282736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 6801087939 (MI)
- Practice address
- 1450 S Lapeer Rd
Oxford, MI 48371-6108 - Phone
- (248) 989-9932
- NPI assigned
- Jul 20, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801087939 | MI | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801087939 | MI | Yes |
Addresses
Primary practice location
1450 S Lapeer Rd
Oxford, MI 48371-6108
Mailing address
1931 N Campbell Rd
Royal Oak, MI 48073-4238
Phone (248) 773-1118
Other providers in Oxford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.