Donna Jean Burkholder, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00005681 Issued in WA

Practice address

1507 Western Ave
#603
Seattle, WA 98101-1563

Phone

(206) 686-4967

NPI assigned

May 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376757641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 SW AVALON WAY",
            "address_2": "#504",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981264443",
            "telephone_number": "206-300-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 WESTERN AVE",
            "address_2": "#603",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011563",
            "telephone_number": "206-686-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHOLDER",
        "first_name": "DONNA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00005681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Burkhardt
• Linda Darnell Burkhardt, MD
• Carolyn J Burkhart, ARNP
• Tamera Lynn Burkhart, PHARMD
• Bret Gerald Burkholder, MA, LMHC
• James M Burkman, M.D.
• Stevona Jessica Loe Burks, M ED, SUDP, LMHCA
• Yi-an Lo Burleson, PSYCHOLOGIST
• Eric E. Burlingame, MD
• Blaire E Burman, MD

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.