Christine M Burrell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW002958 Issued in GA

Practice address

2386 Clower St
BLDG C, Suite 100
Snellville, GA 30078-6134

Phone

(770) 985-2050

Fax

(770) 985-2050

NPI assigned

Feb 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Christine M Burrell Townsend Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1700927407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2386 CLOWER ST",
            "address_2": "BLDG C, SUITE 100",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786134",
            "telephone_number": "770-985-2050",
            "fax_number": "770-985-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2386 CLOWER ST",
            "address_2": "BLDG C, SUITE 100",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786134",
            "telephone_number": "770-985-2050",
            "fax_number": "770-985-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRELL",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2011-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW002958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "543676761A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "BURRELL TOWNSEND",
            "middle_name": "M",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Burgeon Medix LLC
• A'Shani Nakhiya Burke
• Anastasia Burns, MEDICAL STUDENT
• Barry A. Burns, L.C.S.W.
• Kathy Frances Burns, OTR
• Jennifer Shannon Burrell, MD
• Shana Burwell
• Tovvah Bushay-Clark, RN
• Robert Nicholas Butler Jr., MD
• Jade Bynum-Dunlop, RBT

• Clinical Social Worker in Snellville, GA
• Providers in Snellville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.