Evangeline V Burden, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801005556 Issued in MI

Practice address

5555 Conner St
Suite 3265
Detroit, MI 48213-3448

Phone

(313) 836-7563

NPI assigned

Jan 4, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Andel Therapeutic Solutions, LLC

  • Community/Behavioral Health Agency
  • Detroit, MI
  • NPI 1710110093
  NPD (past)

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1235433384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21815 BEECH RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480335909",
            "telephone_number": "248-356-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 CONNER ST",
            "address_2": "SUITE 3265",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482133448",
            "telephone_number": "313-836-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDEN",
        "first_name": "EVANGELINE",
        "middle_name": "V",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801005556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN LICENSING BUREAU",
            "identifier": "6801005556",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Mikel Burchfield, DO
• Rahul Shivshankar Burde, M.D.
• Aria Denelle Burden
• Breanna Marie Burden, LLBSW
• Cheryl Nannette Burden, BS
• Morgan Burdette
• Judith Burford
• Mackenzie Burger, MD
• Alphia Ramona Burgess
• Ashley Burgess

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.