Organization Active NPI

Kim Burkland-Ward, Licsw, P.L.L.C

  • Clinical Social Worker
  • Nashua, NH
National Provider Identifier
1518344340
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1840 Issued in NH
Legal business name
KIM BURKLAND-WARD, LICSW, P.L.L.C
Practice address
154 Broad St Ste 1511
Nashua, NH 03063-3205
Phone
(603) 521-7806
NPI assigned
Apr 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Authorized official

Name
Kim Burkland-Ward, LICSWNPI 1912228867
Title
Owner
Phone
(603) 521-7806

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 1840 NH Primary

Addresses

Primary practice location

154 Broad St Ste 1511
Nashua, NH 03063-3205

Mailing address

154 Broad St Ste 1511
Nashua, NH 03063-3205
Phone (603) 521-7806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150710000082 NH Part B Supplier - Clinic/Group Practice 6002128667 Receives reassigned benefits from 1 practitioner
Practice locations: Nashua, NH

National Provider Directory

National Provider Directory

Locations

154 Broad St
Ste 1527
Nashua, NH 03063
Phone (603) 400-6160

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1518344340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 BROAD ST STE 1511",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030633205",
            "telephone_number": "603-521-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 BROAD ST STE 1511",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030633205",
            "telephone_number": "603-521-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM BURKLAND-WARD, LICSW, P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "BURKLAND-WARD",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-521-7806",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.