Debra E Burdick, LCSW, BCN

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

078801R Issued in NY

Practice address

310 River Road Ext
New Paltz, NY 12561-3080

Phone

(845) 658-8083

NPI assigned

Jun 11, 2006

Last updated

Jan 20, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Stone Mountain Counseling, LMHC, P.C.

  • Clinic/Center
  • New Paltz, NY
  • NPI 1568643468
  NPD (past)
• Associated Specialists of Southeastern Connecticut, Inc.

  • Internal Medicine Physician
  • New London, CT
  • NPI 1588844591

  Clinical

  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1811939390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CONTINENTAL LN",
            "city": "WASHINGTONVILLE",
            "state": "NY",
            "postal_code": "109921332",
            "telephone_number": "845-496-9637",
            "fax_number": "866-872-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 RIVER ROAD EXT",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125613080",
            "telephone_number": "845-658-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDICK",
        "first_name": "DEBRA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LCSW, BCN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078801R",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003903",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13400",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Profaci Brown
• Ellen M Brunning, MS,ED.
• Donna M Bruschi, IBCLC
• Bryan R. Kolber
• Debra K Budnik, LCSWR
• Kathryn A. Burke
• Suzanne M Busby, PH.D.
• Janine Theresa Buxton, M.S., LMHC
• Shelley Regina Cahn, DPT
• Louis Calabro, PH.D., ABPP

• Clinical Social Worker in New Paltz, NY
• Providers in New Paltz, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.