Emily Ann Burks, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW-17738 Issued in AZ

Practice address

5040 N 15TH Ave
Phoenix, AZ 85015-3328

Phone

(602) 234-7174

NPI assigned

May 5, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Emily Ann Abbott Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1508487158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 N 15TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153328",
            "telephone_number": "602-234-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 N 15TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153328",
            "telephone_number": "602-234-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKS",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "65995",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LMSW-17738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "ABBOTT",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Theresa Marie Burkhart
• Zachary Dalton Burkhart, MD
• Veronica Burklow
• Kyle Bradley Burklund, OTR/L
• Angela Marianna Burks, LCSW
• Teresa Lynn Burks, NP, APN
• Derek Burkum, PA
• Michele M Burleson, MD
• Grafton Jeremy Burley, DPT
• Lissette Marie Burley, PHLEBOTOMIST

• All providers in Phoenix, AZ
• Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.