Gary F Burnham, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW615 Issued in FL

Practice address

1970 Michigan Ave
BLD J2
Cocoa, FL 32922-5758

Phone

(321) 639-4483

Fax

(321) 690-0848

NPI assigned

Apr 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Undefined Physician Type (Specify)

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Burnham Woods Champa and AssociatesGroup PAC ID 8325049596, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Burnham Woods Champa & Associates

  • Addiction (Substance Use Disorder) Counselor
  • Cocoa, FL
  • NPI 1851354732

  Clinical

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760446215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 MICHIGAN AVE",
            "address_2": "BLD J2",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329225758",
            "telephone_number": "321-639-4483",
            "fax_number": "321-690-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 MICHIGAN AVE",
            "address_2": "BLD J2",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329225758",
            "telephone_number": "321-639-4483",
            "fax_number": "321-690-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNHAM",
        "first_name": "GARY",
        "middle_name": "F",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Ryan Buford
• Annie Burch, CBHT
• Michae Burgess II
• Jennifer Lynn Burgin, LCSW, LCAS, CEDS
• Burnham Woods Champa & Associates
• Tyren Anthony Burrell
• Tammie Bussey
• Michael L Butler
• Cadence Homemaker & Companion Services
• Natasha Mack Caldwell, REGISTERED NURSE

• Clinical Social Worker in Cocoa, FL
• Providers in Cocoa, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.