Kimberly Renett Burton

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15283 Issued in MD

Practice address

14626 Main St Ste 202
Upper Marlboro, MD 20772

Phone

(202) 345-7099

NPI assigned

May 22, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Alpha & Omega Health & Wellness Center, LLC

  • Clinical Social Worker
  • Waldorf, MD
  • NPI 1538655238
  NPD Authorized official
• Helping Hands Behavioral Health Services, LLC

  • Clinical Social Worker
  • Upper Marlboro, MD
  • NPI 1780179275
  NPD Authorized official

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1316474398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11807 FAIRGREEN LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207725352",
            "telephone_number": "202-345-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14626 MAIN ST STE 202",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "20772",
            "telephone_number": "202-345-7099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6196 Oxon Hill Rd Ste 340",
            "address_purpose": "LOCATION",
            "city": "Oxon Hill",
            "state": "MD",
            "postal_code": "207453134",
            "country_code": "US",
            "telephone_number": "301-839-1960 x205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURTON",
        "first_name": "KIMBERLY",
        "middle_name": "RENETT",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "15283",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kadia Mary Bundu, M.D.
• Gifter N Bungwa
• Jacob Buro
• Summer Burris, BEHAVIOR TECHNICIAN
• Staci Burrough
• Adebona Busari
• Milanni Bushrod
• Kathleen Terese Butler, CLC
• Kimberly Butler
• Emily Addison Button, LGPC

• Clinical Social Worker in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.