Mollie V McKee-Burnside, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

56309 Issued in TX

Practice address

207 Rock Prairie Rd Ste a
College Station, TX 77845-8777

Phone

(979) 229-7636

NPI assigned

Jan 12, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mollie V McKee Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1912596164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10727 OLSEN RD",
            "city": "NORTH ZULCH",
            "state": "TX",
            "postal_code": "778726694",
            "telephone_number": "512-785-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 ROCK PRAIRIE RD STE A",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458777",
            "telephone_number": "979-229-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEE-BURNSIDE",
        "first_name": "MOLLIE",
        "middle_name": "V",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "56309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLIE",
            "last_name": "MCKEE",
            "middle_name": "V",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Ann McGinnis, MSN, APRN, NNP-BC
• Sarah Ellen McGraw
• George R McIlhaney, MD
• Daisy Robinson McIlveen, MED,LPC,LMFT
• Lauren Alexandra McKay, PA
• Sally McKee, M.A, CCC-SLP
• Nicholas McKernan, MD
• Christie Ducote McLarty, D.C.
• Michael F McMahon, M.D.
• Victoria McMillian

• Clinical Social Worker in College Station, TX
• Providers in College Station, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.