Kaitlyn R Burda, LMSW
Individual provider Active NPI Clinical Social Worker · Traverse City, MI
NPI 1306433404 · NPPES record last updated Dec 4, 2024
Key facts
- NPI
- 1306433404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801115942 (MI)
- Practice address
- 700 Hammond Rd E
Traverse City, MI 49686-8641 - Phone
- (231) 947-2255
- NPI assigned
- Dec 23, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pine Rest Christian Mental Health Services
Practice addresses (Care Compare)
700 Hammond Rd E
Suite 200
Traverse City, MI 49686-8641
Phone (231) 947-2255
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- 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 |
|---|---|---|---|---|
| I20230330002830 | MI | Practitioner - Clinical Social Worker | 8022483221 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Rest Christian Mental Health Services | Current |
Accepting new patients | |
| Pine Rest Christian Mental Health Services | Social Worker | Current |
Accepting new patients |
Locations
700 E Hammond Rd
Ste 200
Traverse City, MI 49686
Phone (231) 947-2255
300 68th St SE
Wyoming, MI 49548
Phone (616) 455-5000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801115942 | MI | Yes |
Addresses
Primary practice location
700 Hammond Rd E
Traverse City, MI 49686-8641
Mailing address
300 68TH St SE
Grand Rapids, MI 49548-6927
Other practice location 1
1050 Silver Dr
Traverse City, MI 49684-5749
Phone (231) 947-2255
Other practice location 2
300 68th St SE
Grand Rapids, MI 49548-6927
Phone (231) 947-2255
Other providers in Traverse City, MI
- Marci Rae Bultemeier
- Craig Alan Bultsma
- Peter T Bump
- Aimee Louise Bunbury
- Alyssa Rene Bur
- Jill Anne Burden
- Caitlin Buren
- Krysteena Burfield
- Rachele Burfield
- Jacques Burgess
All providers in Traverse City, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2024. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.