SAMUEL BURNS (NPI# 1033539580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033539580 |
| Entity Type | Individual |
| Full Name | SAMUEL BURNS |
| Credential | LIMHP |
| Practice Address |
2740 N Clarkson St Fremont NE 68025-7703 |
| Mailing Address |
1011 Leavenworth St. Omaha NE 68102-2933 |
| Practice Telephone | 4027210951 |
| Practice Fax Number | 4027210804 |
| Mailing Telephone | 4026144870 |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2019-12-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2230 | NE | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025851800 | 05 | |
| NE | LIMHP LICENSE | 2230 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1011 Leavenworth St, Mshs, Omaha, NE 681022933 | 4026144870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336532332 | Samuel Burns | General Practice | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2015-03-15 |
| 1922428077 | Samuel Tucker Burns | Family Medicine | 612 S 12th St, Fort Smith, AR 72901 | 2014-04-16 |
| 1417176744 | Samuel Burns | Pediatrics | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2007-04-25 |
| Street Address |
2740 N CLARKSON ST |
| City | FREMONT |
| State | NE |
| Zip Code | 68025-7703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063482750 | Zachary J Girthoffer | Physical Therapist | 2740 N Clarkson St, Suite 200, Fremont, NE 68025-7716 | 2006-01-25 |
| 1902287261 | Good Neighbor Community Health Center | Clinic/Center | 2740 N Clarkson St, Fremont, NE 68025-7716 | 2015-06-12 |
| 1710125919 | Kevin Gary Loontjer | Physician Assistant | 2740 N Clarkson St, Fremont, NE 68025-7716 | 2009-01-26 |
| 1699794099 | Ashley Michelle Belt | Physical Therapist | 2740 N Clarkson St, Suite 2, Fremont, NE 68025-7716 | 2006-07-18 |
| 1326070012 | Robin J. Bernard | Family Medicine | 2740 N Clarkson St, Fremont, NE 68025 | 2006-07-06 |
| 1598707507 | Fred W. Brown | Physical Therapist | 2740 N Clarkson St, St. 2, Fremont, NE 68025-7716 | 2006-06-12 |
| 1801848072 | Troy T Post Ix | Physical Therapist | 2740 N Clarkson St, Ste. 2, Fremont, NE 68025-7716 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710456934 | Methodist Fremont Health | Pharmacy | 450 E 23rd, Fremont, NE 68025 | 2018-11-16 |
| 1811484546 | Cynthia Jane Cusick | Social Worker | 748 North Main Street, Fremont, NE 68025 | 2018-04-18 |
| 1891298196 | Hergenrader Dental Rehab PC | Dentist | 3102 East Elk Lane, Fremont, NE 68025 | 2018-03-13 |
| 1982142857 | Paula Y. Walla | Speech-Language Pathologist | 130 E. 9th St., Fremont, NE 68025 | 2017-02-10 |
| 1619326709 | Debra Baker | Nurse Practitioner | 3140 Elk Ln Ste 600, Fremont, NE 68025 | 2016-06-09 |
| 1912368069 | Nicole Henkel | Occupational Therapist | 450 East 23rd, Fremont, NE 68025 | 2016-03-17 |
| 1265818017 | Orchid of Hope Counseling | Exclusive Provider Organization | 1919 North Broad Street, Fremont, NE 68025 | 2015-08-04 |
| 1265770366 | James N Orr | Pharmacist | 840 E 23 St, Fremont, NE 68025 | 2013-01-24 |
| 1902156086 | Penelope Anastasia Stoll | Speech-Language Pathologist | Nye Legacy, 3210 N. Clarkson St, Fremont, NE 68025 | 2012-09-14 |
| 1144582685 | Diane Marie Gehring | Case Management | 105 East 12th Street, Fremont, NE 68025 | 2012-06-11 |
| Find all providers in zip 68025 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617800 | Lauren Ashlei Pina | Social Worker | 39119 Liberty Street, Building B Room 118 Fre-122-sw, Fremont, CA 94538-1510 | 2020-10-22 |
| 1275163776 | Michelle Rene Petz | Social Worker | 25 W Main St Ste B, Fremont, MI 49412-1186 | 2020-01-23 |
| 1124594098 | Natasha Kharbanda | Social Worker | 4452 Sloat Rd, Fremont, CA 94538-1232 | 2018-10-18 |
| 1952899411 | Suzanne Vargas | Social Worker | 41224 Vargas Rd, Fremont, CA 94539-5442 | 2018-04-30 |
| 1497136410 | James Yon | Social Worker | 3682 S Maple Island Rd, Fremont, MI 49412 | 2015-06-16 |
| 1508282179 | Maitrayee Baksi-banerjee | Social Worker | 338 Stonebridge Dr, Fremont, CA 94536-1590 | 2014-03-06 |
| 1689097057 | Robin E Neville | Social Worker | 3607 Main Street B, Fremont, CA 94538 | 2014-01-21 |
| 1023443926 | Leilei Yuan | Social Worker | 39111 Paseo Padre Pkwy Ste 203e, Fremont, CA 94538-1694 | 2013-09-10 |
| 1003168220 | Tina Howerton | Social Worker | 3607 Main St Ste A, Fremont, CA 94538-4390 | 2012-10-11 |
| 1376829986 | David Guardiola | Social Worker | 1235 Carbon St, Fremont, OH 43420-1727 | 2011-10-26 |
| Find all providers in FREMONT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.