JENNIFER BURT (NPI# 1275730004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275730004 |
| Entity Type | Individual |
| Full Name | JENNIFER BURT |
| Credential | LCSW |
| Practice Address |
6722 Erie Rd Derby NY 14047-9670 |
| Mailing Address |
1300 Niagara St Po Box 657 Buffalo NY 14213-1503 |
| Practice Telephone | 7169475025 |
| Practice Fax Number | 7169475909 |
| Mailing Telephone | 7168822127 |
| Mailing Fax Number | 7168829277 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2011-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508298597 | Jennifer Burt | Specialist/Technologist | 101 E Wood St, Spartanburg, SC 29303-3040 | 2013-08-01 |
| 1164684940 | Jennifer D Burt | Psychologist | 985450 Nebraska Medical Ctr, Omaha, NE 68198-5450 | 2008-07-02 |
| Street Address |
6722 ERIE RD |
| City | DERBY |
| State | NY |
| Zip Code | 14047-9670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417902065 | Professional Psychiatric Services P.C. | Psychiatry & Neurology | 6722 Erie Rd, Derby, NY 14047-9670 | 2006-05-23 |
| 1326683343 | Jordan Alston | Counselor | 6722 Erie Rd, Derby, NY 14047-9670 | 2019-11-13 |
| 1750923371 | Joanna Marie Palma | Counselor | 6722 Erie Rd, Derby, NY 14047-9670 | 2019-10-15 |
| 1891206231 | Megan Brautlacht | Counselor | 6722 Erie Rd, Derby, NY 14047-9670 | 2017-10-12 |
| 1417487448 | Mary Beth Mccormick | Counselor | 6722 Erie Rd, Derby, NY 14047-9670 | 2017-06-13 |
| 1760922421 | Mary Katherine Nolan-eaton | Counselor | 6722 Erie Rd, Derby, NY 14047-9670 | 2017-02-28 |
| 1902219645 | Natalie Bucholtz | Social Worker | 6722 Erie Rd, Derby, NY 14047-9670 | 2014-06-10 |
| 1568753580 | Cynthia S Miller | Nurse Practitioner | 6722 Erie Rd, Derby, NY 14047-9670 | 2011-04-25 |
| 1376784199 | Valerie A Nowak | Counselor | 6722 Erie Rd, Derby, NY 14047-9670 | 2009-03-09 |
| 1497828461 | Harmonia Collaborative Care Inc | Clinic/Center | 6722 Erie Rd, Derby, NY 14047 | 2006-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225654494 | Brooks - Tlc Hospital System, Inc. | Rehabilitation, Substance Use Disorder Unit | 7020 Erie Road, Derby, NY 14047 | 2020-06-23 |
| 1114219607 | Frederick Eckles Jr. | Licensed Practical Nurse | 6816 Erie Road, Derby, NY 14047 | 2011-05-03 |
| 1477887560 | Henna M Patel | Family Medicine | 7060 Erie Rd Suite 100, Derby, NY 14047 | 2009-09-23 |
| 1134300668 | Lisa M Bogner | Pharmacist | 3590 Union Rd, Cheektowaga, NY 14047 | 2007-11-27 |
| 1760546378 | James G Stengel | Internal Medicine | 1667 South Creek Rd, Derby, NY 14047 | 2006-12-20 |
| 1093888463 | Paul J Caro Md | Family Medicine | 7008 Erie Rd Rte 5, Suite A, Derby, NY 14047 | 2006-11-15 |
| 1417037755 | John M Mulawka IIi | Pediatrics | 6763 Erie Road Rt 5, Derby, NY 14047 | 2006-10-17 |
| 1720367782 | Michelle M Sirolli | Licensed Practical Nurse | 6816 Erie Road, Derby, NY 14047 | 2011-08-09 |
| 1770862682 | Janet E Pajak | Licensed Practical Nurse | 6816 Erie Road, Derby, NY 14047 | 2011-08-09 |
| 1316978869 | Robert Jude Joba | Optometrist | 6929 Erie Rd, Derby, NY 14047 | 2006-07-05 |
| Find all providers in zip 14047 | ||||
| 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 |
|---|---|---|---|---|
| 1063918571 | Amy Tinney | Social Worker | 42 Coppola Ter, Derby, CT 06418-1131 | 2018-04-03 |
| 1477065407 | Twin Peaks Counseling, LLC | Social Worker | 303 Roosevelt Dr, Derby, CT 06418-1629 | 2017-10-31 |
| 1942699459 | Cathy Louisa Pepe | Social Worker | 39 Harold Ave, Derby, CT 06418-2315 | 2015-01-21 |
| 1275777328 | Derby Emotional Wellness | Social Worker | 1721 E Osage, Suite 300, Derby, KS 67037-2290 | 2009-04-20 |
| 1841348562 | Rona B Wall | Social Worker | 100 Elizabeth St, 2nd Floor, Derby, CT 06418-1819 | 2007-01-08 |
| 1477637403 | Patricia Donati | Social Worker | 183 Elizabeth St, Derby, CT 06418-1813 | 2006-10-25 |
| 1336229012 | Rebecca Willow Senzer | Social Worker | 59 Elizabeth St, Suite 201, Derby, CT 06418-1852 | 2006-10-16 |
| 1063525764 | Barbara Ann Wolfrum | Social Worker | 984 Backus Rd, Derby, NY 14047-9511 | 2006-08-16 |
| 1740243237 | Catherine I Baker | Social Worker | 425 N Baltimore, Ste 1, Derby, KS 67037 | 2006-04-07 |
| 1972507457 | Alicia M Landsverk | Social Worker | 1721 E Osage Rd, Ste 300, Derby, KS 67037-2092 | 2005-06-13 |
| Find all providers in DERBY | ||||
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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.