Kaylea Burlingame, LSW

Individual provider Active NPI Social Worker · Osage, MN

NPI 1760966899 · NPPES record last updated Sep 25, 2018

Key facts

NPI
1760966899
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
20020 (MN)
Practice address
22119 480TH Ave
Osage, MN 56570-9554
Phone
(218) 573-2238
NPI assigned
Sep 25, 2018
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
North Star Nursing Temporary Associates, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 20020 MN Yes

Addresses

Primary practice location

22119 480TH Ave
Osage, MN 56570-9554

Mailing address

22119 480TH Ave
Osage, MN 56570-9554
Phone (218) 573-2238

Other providers in Osage, MN

All providers in Osage, MN · Social Worker in Minnesota

Sources for this page

Verify at the official NPI Registry.