Individual provider Active NPI

Deborah Lynn Burks, MSW, LMSW

  • School Social Worker
  • Harrison, AR
National Provider Identifier
1366049611
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
10012-M Issued in AR
Practice address
110 S Cherry St
Harrison, AR 72601-5024
Phone
(870) 577-0905
Fax
(870) 741-4520
NPI assigned
Oct 8, 2020
Last updated
Oct 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 10012-M AR Primary

Addresses

Primary practice location

110 S Cherry St
Harrison, AR 72601-5024

Mailing address

110 S Cherry St
Harrison, AR 72601-5024
Phone (870) 577-0905

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dburks@hps.k12.ar.us Direct

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

LicenseStateTypeSpecialty
10012-MARMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Superintendent of Schools Harrison School District PastSince Oct 11, 2020 Accepting new patients
Harrison School District PastSince Oct 11, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1366049611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S CHERRY ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726015024",
            "telephone_number": "870-577-0905",
            "fax_number": "870-741-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S CHERRY ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726015024",
            "telephone_number": "870-577-0905",
            "fax_number": "870-741-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKS",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "credential": "MSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "AR",
            "license": "10012-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dburks@hps.k12.ar.us",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "110 S Cherry St",
            "city": "Harrison",
            "state": "AR",
            "country_code": "US",
            "postal_code": "726015024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.