Active NPI
Nicole Burman, LCSW
- Clinical Social Worker
- East Haven, CT
National Provider Identifier
1588174262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9790
- Practice address
- 64 Thompson St Ste A101
East Haven, CT 06513-5701 - Phone
- (203) 691-1685
- NPI assigned
- Oct 6, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9790 | CT | Primary |
Addresses
Primary practice location
64 Thompson St Ste A101
East Haven, CT 06513-5701
Mailing address
64 Thompson St Ste A101
East Haven, CT 06513-5701
Phone (203) 691-1685
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9790 | CT | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507248000000",
"number": "1588174262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 THOMPSON ST STE A101",
"city": "EAST HAVEN",
"state": "CT",
"postal_code": "065135701",
"telephone_number": "203-691-1685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 THOMPSON ST STE A101",
"city": "EAST HAVEN",
"state": "CT",
"postal_code": "065135701",
"telephone_number": "203-691-1685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURMAN",
"first_name": "NICOLE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-06",
"last_updated": "2017-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "9790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.