Organization Active NPI

Heather Burdine Licensed Clinical Social Worker PC

  • Adult Mental Health Clinic/Center
  • Huntington Beach, CA
National Provider Identifier
1336079201
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
HEATHER BURDINE LICENSED CLINICAL SOCIAL WORKER PC
Practice address
5042 Skylark Dr
Huntington Beach, CA 92649-1424
Phone
(714) 409-2204
NPI assigned
May 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Ms. Heather Burdine, LCSWNPI 1487169744
Title
Chief Executive Officer
Phone
(714) 409-2204

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

5042 Skylark Dr
Huntington Beach, CA 92649-1424

Mailing address

5042 Skylark Dr
Huntington Beach, CA 92649-1424
Phone (714) 409-2204

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1779321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1336079201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5042 SKYLARK DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926491424",
            "telephone_number": "714-409-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5042 SKYLARK DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926491424",
            "telephone_number": "714-409-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER BURDINE LICENSED CLINICAL SOCIAL WORKER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "BURDINE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "714-409-2204",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.