Lynn Burk, L.C.S.W.
Individual provider Active NPI Clinical Social Worker · Cypress, CA
NPI 1255484200 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1255484200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCS18669 (CA)
- Practice address
- 5423 Rome Ave
Cypress, CA 90630-3746 - Phone
- (714) 826-1216
- NPI assigned
- Jan 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050525000684 | CA | Practitioner - Clinical Social Worker | 4486696937 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS18669 | CA | MD | Clinical Social Worker |
| 18669 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PC | Clinical | Current |
Accepting new patients |
Locations
99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS18669 | CA | Yes |
Addresses
Primary practice location
5423 Rome Ave
Cypress, CA 90630-3746
Mailing address
5423 Rome Ave
Cypress, CA 90630-3746
Phone (714) 826-1216
Other providers in Cypress, CA
- Kimberly Marie Brown
- Scott Brunner
- Emily Bui
- Buja Enterprise, Inc.
- Rituporna Buragohain
- James Bush
- Selene Monique Bustamante
- Aimee Cabanos
- Silvina Bibiana Caivano-Alejo
- Caldwell Professional Dental Corp.
All providers in Cypress, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.