Individual provider Active NPI

Audrey Burr, ACSW

  • Clinical Social Worker
  • Spokane, WA
National Provider Identifier
1568433183
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00004974 Issued in WA
Practice address
140 S Arthur St
Suite 415
Spokane, WA 99202-2204
Phone
(509) 533-5470
Fax
(509) 533-0627
NPI assigned
Jan 31, 2006
Last updated
Jul 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW00004974 WA Primary

Addresses

Primary practice location

140 S Arthur St
Suite 415
Spokane, WA 99202-2204

Mailing address

140 S. Arthur St
Suite 415
Spokane, WA 99202-2204
Phone (509) 533-5470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW00004974WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tami Haley Licsw Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1568433183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 S. ARTHUR ST",
            "address_2": "SUITE 415",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022204",
            "telephone_number": "509-533-5470",
            "fax_number": "509-533-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S ARTHUR ST",
            "address_2": "SUITE 415",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022204",
            "telephone_number": "509-533-5470",
            "fax_number": "509-533-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURR",
        "first_name": "AUDREY",
        "credential": "ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00004974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.