Active NPI
William Vernard Burkett, L.C.S.W.
- Clinical Social Worker
- Saint Petersburg, FL
National Provider Identifier
1770877474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW3186
- Practice address
- 3747 34TH St S
Saint Petersburg, FL 33711-3836 - Phone
- (727) 867-7015
- NPI assigned
- May 31, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW3186 | FL | Primary |
Addresses
Primary practice location
3747 34TH St S
Saint Petersburg, FL 33711-3836
Mailing address
718 11TH Ave S
Saint Petersburg, FL 33701-5109
Phone (727) 374-6188
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW3186 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306800000000",
"number": "1770877474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 11TH AVE S",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337015109",
"telephone_number": "727-374-6188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3747 34TH ST S",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337113836",
"telephone_number": "727-867-7015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKETT",
"first_name": "WILLIAM",
"middle_name": "VERNARD",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-31",
"last_updated": "2011-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW3186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.