Jennifer Lynn Burelbach, MSSA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6890123 Issued in WI

Practice address

2920 East Ave S Ste 101
La Crosse, WI 54601-8282

Phone

(608) 397-8727

NPI assigned

Sep 29, 2006

Last updated

Mar 17, 2018By 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 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Riverview Therapy, LLC

  • Clinical Social Worker
  • La Crosse, WI
  • NPI 1811015829
  Authorized official Same address or phone

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1922190768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 EAST AVE S STE 101",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546018282",
            "telephone_number": "608-397-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 EAST AVE S STE 101",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546018282",
            "telephone_number": "608-397-8727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 King St",
            "address_2": "Suite 217",
            "address_purpose": "LOCATION",
            "city": "La Crosse",
            "state": "WI",
            "postal_code": "54601",
            "country_code": "US",
            "telephone_number": "608-796-1880",
            "fax_number": "608-796-2155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 King St",
            "address_2": "Suite 217",
            "address_purpose": "LOCATION",
            "city": "La Crosse",
            "state": "WI",
            "postal_code": "54601",
            "country_code": "US",
            "telephone_number": "608-796-1880",
            "fax_number": "608-796-2155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURELBACH",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MSSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "6890123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40939800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE CHAMPUS",
            "identifier": "376343",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cierra Mone Bundrage
• Rebecca L Bunke, LGSW
• Lauren Rose Bunton-Scheunemann, MA
• Cassidy Burch
• Stacey L. Burds, SLP
• John C Burelbach, MD
• Alyssa Joy Buren, OD
• Frank A Bures, MD
• Florian Davyn Burfeind, LPC
• Carol A. Burgmeier, NP

• Clinical Social Worker in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.