Individual provider Active NPI

Kristen Michelle Burke, LCSW

  • Clinical Social Worker
  • Carmel, IN
National Provider Identifier
1922361542
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34005163A Issued in IN
Practice address
442 Atherton Dr
Carmel, IN 46032-2095
Phone
(317) 417-3146
NPI assigned
Jun 19, 2012
Last updated
Feb 14, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 87001340A IN
Clinical Social Worker 1041C0700X 34005163A IN Primary

Addresses

Primary practice location

442 Atherton Dr
Carmel, IN 46032-2095

Mailing address

442 Atherton Dr
Carmel, IN 46032-2095
Phone (317) 417-3146

Other names 1

  • Kristen Michelle Vorndran Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
87001340AINMDSocial Worker
34005163AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Baume Psychological Services, P.C. CurrentSince May 31, 2013 Accepting new patients
Emerald Neuro-Recover PastSince Feb 11, 2020 Accepting new patients

Locations

12265 Hancock St
Ste 42
Carmel, IN 46032
Phone (317) 606-8778

12337 Hancock St
Ste 20
Carmel, IN 46032
Phone (317) 706-6744

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1922361542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 ATHERTON DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322095",
            "telephone_number": "317-417-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 ATHERTON DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322095",
            "telephone_number": "317-417-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "KRISTEN",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "87001340A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005163A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "VORNDRAN",
            "middle_name": "MICHELLE",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.