Active NPI
Emily Burden, LCSW
- Clinical Social Worker
- Las Vegas, NV
National Provider Identifier
1699296483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8567-C
- Practice address
- 4455 S Pecos Rd Ste C
Las Vegas, NV 89121-5029 - Phone
- (702) 505-1280
- NPI assigned
- Jun 30, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 8567-C | NV | Primary |
Addresses
Primary practice location
4455 S Pecos Rd Ste C
Las Vegas, NV 89121-5029
Mailing address
4455 S Pecos Rd Ste C
Las Vegas, NV 89121-5029
Phone (702) 505-1280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699296483 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2026 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625788800000",
"number": "1699296483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4455 S PECOS RD STE C",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891215029",
"telephone_number": "702-505-1280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4455 S PECOS RD STE C",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891215029",
"telephone_number": "702-505-1280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURDEN",
"first_name": "EMILY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-30",
"last_updated": "2021-07-09",
"certification_date": "2021-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "8567-C",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1699296483",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.