Individual provider Active NPI

Kim Burkland-Ward, LICSW

  • Clinical Social Worker
  • Nashua, NH
National Provider Identifier
1912228867
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1840 Issued in NH
Practice address
154 Broad St Ste 1511
Nashua, NH 03063-3205
Phone
(603) 521-7806
NPI assigned
Jun 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 118773 MA
Clinical Social Worker 1041C0700X 1840 NH Primary

Addresses

Primary practice location

154 Broad St Ste 1511
Nashua, NH 03063-3205

Mailing address

154 Broad St Ste 1511
Nashua, NH 03063-3205
Phone (603) 521-7806

Other names 1

  • Kim Burkland-Ward Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150710000118 NH Practitioner - Clinical Social Worker 7810209475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Boston University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

154 Broad St
Suite 1511
Nashua, NH 03063-3205
Phone (603) 521-7806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
118773MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kim Burkland-Ward, Licsw, P.L.L.C Clinical CurrentSince Apr 1, 2015 Accepting new patients

Locations

154 Broad St
Ste 1527
Nashua, NH 03063
Phone (603) 400-6160

252 Daniel Webster Hwy
Nashua, NH 03060
Phone (339) 204-5454

154 Broad St
Ste 1511
Nashua, NH 03063
Phone (603) 521-7806

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1912228867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 BROAD ST STE 1511",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030633205",
            "telephone_number": "603-521-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 BROAD ST STE 1511",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030633205",
            "telephone_number": "603-521-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKLAND-WARD",
        "first_name": "KIM",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-15",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "118773",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "BURKLAND-WARD",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.