Lashawnda Burks, LCSW-BACS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7142 Issued in LA

Practice address

2001 S Commerce Ave
Gonzales, LA 70737-5726

Phone

(225) 450-3220

Fax

(225) 450-3220

NPI assigned

Dec 11, 2012

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1780929174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14104 CREEK VISTA DR",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707377691",
            "telephone_number": "225-620-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S COMMERCE AVE",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707375726",
            "telephone_number": "225-450-3220",
            "fax_number": "225-450-3220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14104 Creek Vista Dr",
            "address_purpose": "LOCATION",
            "city": "Gonzales",
            "state": "LA",
            "postal_code": "707377691",
            "country_code": "US",
            "telephone_number": "225-620-6501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKS",
        "first_name": "LASHAWNDA",
        "credential": "LCSW-BACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-11",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "7142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitzi Buckman, FNP-C
• Cameron Bueche
• Tracy Mai Bui
• Lance Everett Bullock
• Quenterra Burd
• La'Quesha J Butler, LPC
• Nicole Gaudet Buuck
• Byron Robert Rome Apdc
• C&M Medical Services-St Elizabeth LLC
• Michael Caire, MD

• All providers in Gonzales, LA
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.