Michelle Burdick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

084277

Practice address

6 Furnace St
Clinton, NY 13323-4721

Phone

(315) 794-5199

NPI assigned

Apr 27, 2016

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Enrolled in NY

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.

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 1, 2023.

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1497100408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FURNACE ST",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133234721",
            "telephone_number": "315-794-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FURNACE ST",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133234721",
            "telephone_number": "315-794-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDICK",
        "first_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-27",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "084277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015224390/1205048832",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Building Blocks Learning Center, LLC
• Building Blocks Learning Center, LLC
• Building Blocks Learning Center,LLC
• Hailey Bulman, CCC-SLP
• Jacqueline Burdick
• Joshua D. Burgess, LCSWR
• Christine Mary Burke
• Jasmine Alexandria-Alenia Burke
• Kendra Buske
• Emily Byrne

• All providers in Clinton, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.