Active NPI
Kimberly Burns, LCSW
- Clinical Social Worker
- Saint Peters, MO
National Provider Identifier
1275532913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 004576
- Practice address
- 150 Saint Peters Centre Blvd Ste B
Saint Peters, MO 63376-1653 - Phone
- (636) 345-4744
- NPI assigned
- Jul 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 004576 | MO | Primary |
Addresses
Primary practice location
150 Saint Peters Centre Blvd Ste B
Saint Peters, MO 63376-1653
Mailing address
150 Saint Peters Centre Blvd Ste B
Saint Peters, MO 63376-1653
Phone (636) 345-4744
Other names 1
- Kimberly Killian
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004576 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rcsquared Enterprises, LLC | Clinical | Current | Accepting new patients |
Locations
150 Saint Peters Centre Blvd
Ste B
Saint Peters, MO 63376
Phone (314) 930-3520
Organizations & group practices 1
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": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1275532913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 SAINT PETERS CENTRE BLVD STE B",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633761653",
"telephone_number": "636-345-4744",
"fax_number": "636-244-1171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 SAINT PETERS CENTRE BLVD STE B",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633761653",
"telephone_number": "636-345-4744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "KIMBERLY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-15",
"last_updated": "2023-09-25",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "004576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "KILLIAN",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.