Olivia Jenai Burlison

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801110678 Issued in MI

Practice address

2300 Haggerty Rd Ste 2160
West Bloomfield, MI 48323-2192

Phone

(248) 859-2457

NPI assigned

Aug 19, 2018

Last updated

Dec 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: oburlison806179@direct.hfhs.org

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

{
    "created_epoch": "1534636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1235619222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 CHERYL DR",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483821719",
            "telephone_number": "734-353-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD STE 2160",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232192",
            "telephone_number": "248-859-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLISON",
        "first_name": "OLIVIA",
        "middle_name": "JENAI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801104536",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801110678",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Lynn Budny, LMSW
• Jennifer Nicole Bueby, OTR/L
• Maria Theresa Bugelli
• Elizabeth Bulat, M.D.
• Vishnu Vardhan-Reddy Burla, D.D.S.
• Eric Burmeister, PT, DPT.
• Sareta Marcile Burnett
• Lisa Burnette, LMT
• Melissa Burris
• Busch's Inc (Busch's Pharmacy 1199)

• Clinical Social Worker in West Bloomfield, MI
• Providers in West Bloomfield, 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 Dec 19, 2023; 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.