Alisa Stephany Burlakov, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW-41761 Issued in ID

Practice address

704 E 4TH Ave
Post Falls, ID 83854-7559

Phone

(208) 676-1075

NPI assigned

Jan 31, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healing Hub LLCGroup PAC ID 4385089135, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Healing Hub LLC

  • Professional Counselor
  • Hayden, ID
  • NPI 1407549041

  ID

  Medicare reassignment Care Compare group NPD (past)

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1972256899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18902 E 2ND AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990168753",
            "telephone_number": "509-979-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 E 4TH AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547559",
            "telephone_number": "208-676-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLAKOV",
        "first_name": "ALISA",
        "middle_name": "STEPHANY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-41761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason William Bruns, PT
• Bryan W. McLelland, D.D.S., P.S.
• Lamonica Noel Bryant, LM
• BS Medical Supplies LLC
• Morgan Christine Bullard, DC
• Mikal Bech Burley, PA-C
• Alison Marie Burns, PT, DPT
• Ashley Anne Burt, LMT
• Roger James Burt, LMT
• Daniel John Butsick, LMT

• All providers in Post Falls, ID
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.