Alexandria Gabrellia Burk, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

119119 Issued in IA

Practice address

520 N 7TH St
Council Bluffs, IA 51503-0709

Phone

(712) 326-9157

Fax

(712) 322-4301

NPI assigned

Aug 10, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Alexandria Funk Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Christian Home Association-Children'S Square U.S.a.

  • Psychiatric Residential Treatment Facility
  • Council Bluffs, IA
  • NPI 1134265291
  NPD (past)

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1487337994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N 7TH ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515030709",
            "telephone_number": "712-326-9157",
            "fax_number": "712-322-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N 7TH ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515030709",
            "telephone_number": "712-326-9157",
            "fax_number": "712-322-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURK",
        "first_name": "ALEXANDRIA",
        "middle_name": "GABRELLIA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "119119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRIA",
            "last_name": "FUNK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly Buckman, PTA
• Ryan Gerald Buetow, NP
• Brianne Buge, CRNA
• Phuong Cat Bui, DDS
• Shalenna F Burgess
• Kenneth D Burkhart, MD
• Stacey Elizabeth Burmeister
• Colton Anglim Busch, DPT
• Kimberly Butts, M.D.
• Destyni Byers, CADC

• All providers in Council Bluffs, IA
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.