Judith Burns, LCSW
Individual provider Active NPI Clinical Social Worker · Buda, TX
NPI 1770880783 · NPPES record last updated Feb 28, 2011
Key facts
- NPI
- 1770880783
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 02214 (TX)
- Practice address
- 12708 Turkey CV
Buda, TX 78610-2513 - Phone
- (512) 750-2217
- NPI assigned
- Feb 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02214 | TX | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 02214 | TX | Yes |
Addresses
Primary practice location
12708 Turkey CV
Buda, TX 78610-2513
Mailing address
12708 Turkey CV
Buda, TX 78610-2513
Phone (512) 750-2217
Other providers in Buda, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.