Individual provider Active NPI

Maria Wolf Burdick, LMSW

  • Clinical Social Worker
  • Devils Lake, ND
National Provider Identifier
1407567654
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6024 Issued in ND
Practice address
210 Highway 2 W Ste 10
Devils Lake, ND 58301-2913
Phone
(701) 662-1046
NPI assigned
Dec 8, 2022
Last updated
Dec 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6024 ND Primary

Addresses

Primary practice location

210 Highway 2 W Ste 10
Devils Lake, ND 58301-2913

Mailing address

210 Highway 2 W Ste 10
Devils Lake, ND 58301-2913
Phone (701) 662-1046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230302000873 ND Practitioner - Clinical Social Worker 0547633174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of North Dakota School of Medicine, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Lifewise Associates LLCGroup PAC ID 2264784008, 8 clinicians

Practice addresses (Care Compare)

210 Hwy 2 W
Suite 10
Devils Lake, ND 58301-2913
Phone (701) 662-1046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifewise Associates LLC CurrentSince Jan 5, 2023 Accepting new patients

Locations

210 Highway 2 W
Ste 10
Devils Lake, ND 58301
Phone (701) 662-1046

Interoperability endpoints

  • Direct secure messaging: lifewiseassociates.mariaburdick@159709.advancedmd-direct.com

Organizations & group practices 1

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": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1407567654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 HIGHWAY 2 W STE 10",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012913",
            "telephone_number": "701-662-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 HIGHWAY 2 W STE 10",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012913",
            "telephone_number": "701-662-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF BURDICK",
        "first_name": "MARIA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "6024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Devils Lake, ND

Sources for this page

Verify at the official NPI Registry.