Keitha Joan Burnett, L.C.S,.W,

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1670 Issued in CO

Practice address

3954 Youngfield St
Wheat Ridge, CO 80033-3865

Phone

(720) 328-0569

Fax

(720) 328-0769

NPI assigned

Jul 12, 2011

Last updated

Jul 12, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1558659565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3954 YOUNGFIELD ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800333865",
            "telephone_number": "720-328-0569",
            "fax_number": "720-328-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3954 YOUNGFIELD ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800333865",
            "telephone_number": "720-328-0569",
            "fax_number": "720-328-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "KEITHA",
        "middle_name": "JOAN",
        "credential": "L.C.S,.W,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "1670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Jeanne Burgess, M.D.
• Thomas Gerard Burke, MD
• Andrea Burkley, MS, RD
• Christi Burks, AGACNP
• Alina Burnett, PHARMD
• Jean M Burnkrant, N.P.
• Jessica Burns, NP
• Bryce Burton, DPT
• Christine Burton
• Andrew Tadeusz Burzynski, M.D.

• Clinical Social Worker in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.