Individual provider Active NPI

Laura Adams-Burkley, LCSW, CADC

  • Clinical Social Worker
  • Stevens Point, WI
National Provider Identifier
1477566768
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6833-123 Issued in WI
Practice address
209 Prentice St North
Box 8004
Stevens Point, WI 54481-8004
Phone
(715) 344-4611
Fax
(715) 344-8127
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6833-123 WI Primary

Addresses

Primary practice location

209 Prentice St North
Box 8004
Stevens Point, WI 54481-8004

Mailing address

209 Prentice St North
Box 8004
Stevens Point, WI 54481-8004
Phone (715) 344-4611

Other identifiers 1

IdentifierTypeStateIssuer
40924100MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20050804000474 WI Practitioner - Clinical Social Worker 9133158769 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6833-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thedacare, Incorporated CurrentSince Feb 6, 2017 Accepting new patients
Thedacare, Incorporated CurrentSince Feb 6, 2017 Accepting new patients

Locations

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

1095 Midway Rd
Menasha, WI 54952
Phone (920) 720-3700

1405 Mill St
New London, WI 54961
Phone (920) 531-2000

Organizations & group practices 12

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thedacare, Incorporated 654 clinicians

Practice addresses (Care Compare)

1095 Midway Rd
Menasha, WI 54952-1115
Phone (920) 720-2300

3 Neenah Ctr
Neenah, WI 54956-3070

710 Park Ave
Waupaca, WI 54981-1956
Phone (920) 720-2300

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477566768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 PRENTICE ST NORTH",
            "address_2": "BOX 8004",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544818004",
            "telephone_number": "715-344-4611",
            "fax_number": "715-344-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 PRENTICE ST NORTH",
            "address_2": "BOX 8004",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544818004",
            "telephone_number": "715-344-4611",
            "fax_number": "715-344-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS-BURKLEY",
        "first_name": "LAURA",
        "credential": "LCSW, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "6833-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40924100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

Verify at the official NPI Registry.