NPIMap

Organization Active NPI

Kimberly T Burdick,LLC

  • Clinical Social Worker
  • Sandusky, MI
National Provider Identifier
1861706608
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801065333 Issued in MI
Legal business name
KIMBERLY T BURDICK,LLC
Practice address
1240 W Sanilac Rd
Suite D
Sandusky, MI 48471-9654
Phone
(810) 648-3248
Fax
(810) 648-3907
NPI assigned
Aug 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Authorized official

Name
Kimberly Tinsley Burdick, LMSW,ACSW
Title
Clinical Social Worker
Phone
(810) 648-3248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801065333 MI Primary

Addresses

Primary practice location

1240 W Sanilac Rd
Suite D
Sandusky, MI 48471-9654

Mailing address

1240 W Sanilac Rd
Suite D
Sandusky, MI 48471-9654
Phone (810) 648-3248

National Provider Directory

National Provider Directory

Locations

1240 W Sanilac Rd
Sandusky, MI 48471
Phone (810) 648-3248

1240 W Sanilac Rd
Ste D
Sandusky, MI 48471
Phone (810) 648-3248

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1861706608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 W SANILAC RD",
            "address_2": "SUITE D",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484719654",
            "telephone_number": "810-648-3248",
            "fax_number": "810-648-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 W SANILAC RD",
            "address_2": "SUITE D",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484719654",
            "telephone_number": "810-648-3248",
            "fax_number": "810-648-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY T BURDICK,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "BURDICK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "TINSLEY",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "810-648-3248",
        "authorized_official_credential": "LMSW,ACSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801065333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.