Active NPI
Laura Adams-Burkley, LCSW, CADC
- Clinical Social Worker
- Stevens Point, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6833-123
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40924100 | Medicaid | WI |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050804000474 | WI | Practitioner - Clinical Social Worker | 9133158769 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6833-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thedacare, Incorporated | Current | Accepting new patients | |
| Thedacare, Incorporated | Current | 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.
-
- Counselor
- Menasha, WI
- NPI 1306959515
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1194812784
-
- Home Health Agency
- Appleton, WI
- NPI 1235225210
-
- Durable Medical Equipment & Medical Supplies
- Appleton, WI
- NPI 1295823508
-
- Skilled Nursing Facility
- Appleton, WI
- NPI 1326079757
-
- Durable Medical Equipment & Medical Supplies
- Shawano, WI
- NPI 1376554865
-
- Home Infusion Therapy Pharmacy
- Appleton, WI
- NPI 1699861617
-
- Durable Medical Equipment & Medical Supplies
- New London, WI
- NPI 1699915504
-
- Durable Medical Equipment & Medical Supplies
- Waupaca, WI
- NPI 1760528798
-
- Durable Medical Equipment & Medical Supplies
- Berlin, WI
- NPI 1780031559
-
- Community Based Hospice Care Agency
- Appleton, WI
- NPI 1881787380
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
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
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.