Active NPI
Brittony Burnham, LSW, MSW
- Social Worker
- Indianapolis, IN
National Provider Identifier
1659269538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 33012925A
- Practice address
- 4010 W 86TH St Ste D
Indianapolis, IN 46268-1779 - Phone
- (317) 647-0102
- Fax
- (317) 868-7447
- NPI assigned
- Jun 27, 2025
- Last updated
- Jun 27, 2025
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 33012925A | IN | Primary |
Addresses
Primary practice location
4010 W 86TH St Ste D
Indianapolis, IN 46268-1779
Mailing address
529 Bitter Bark LN
Indianapolis, IN 46227-2743
Phone (317) 313-6830
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 |
|---|---|---|---|
| 33012925A | IN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valle Vista LLC | Current | Accepting new patients |
Locations
4010 W 86th St
Ste D
Indianapolis, IN 46268
Phone (317) 647-0102
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": "1750982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750982400000",
"number": "1659269538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 BITTER BARK LN",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462272743",
"telephone_number": "317-313-6830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 W 86TH ST STE D",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462681779",
"telephone_number": "317-647-0102",
"fax_number": "317-868-7447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNHAM",
"first_name": "BRITTONY",
"credential": "LSW, MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-27",
"last_updated": "2025-06-27",
"certification_date": "2025-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "33012925A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.