GWENDOLYN LOUISE BURK (NPI# 1750811998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750811998 |
Entity Type | Individual |
Full Name | GWENDOLYN LOUISE BURK |
Practice Address |
10300 4th St N St Petersburg FL 33716-3813 |
Mailing Address |
2027 16th St N St Petersburg FL 33704-3921 |
Practice Telephone | 5617901191 |
Mailing Telephone | 8133123036 |
Mailing Fax Number | 8134388973 |
Enumeration Date | 2017-06-19 |
Last Update Date | 2018-12-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW6333 | FL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | SOCIAL WORK | SW6333 | 01 |
Street Address |
10300 4TH ST N |
City | ST PETERSBURG |
State | FL |
Zip Code | 33716-3813 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063785152 | Nancy Jean Schmitmeyer | Physical Therapist | 10300 4th St N, St Petersburg, FL 33716-3810 | 2012-02-20 |
1790318228 | Sunny Israni | Physical Therapist | 10300 4th St N, St Petersburg, FL 33716-3810 | 2020-02-12 |
1619437332 | Shirley Pierre-louis | Occupational Therapy Assistant | 10300 4th St N, St Petersburg, FL 33716-3810 | 2019-03-20 |
1629534755 | Cassidy Adele Cramer | Occupational Therapist | 10300 4th St N, St Petersburg, FL 33716-3810 | 2019-02-13 |
1669940904 | Elizabeth Ann Potter | Physical Therapy Assistant | 10300 4th St N, St Petersburg, FL 33716-3810 | 2018-11-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699205815 | Orthopaedic Medical Group of Tampa Bay Pa | Clinic/Center | 10033 Mlk Jr St N Fl 3, St Petersburg, FL 33716 | 2017-06-20 |
1316471113 | Sara Alexandra Maltese | Dentist | 871 Ibis Walk Pl N Unit 7201, St Petersburg, FL 33716 | 2017-04-18 |
1508229972 | Florida Cardiac Therapeutics, Inc | Internal Medicine | 10033 Doctor M.l.k. Jr St N, Suite 302, St Petersburg, FL 33716 | 2016-04-01 |
1720440902 | Valorie Baker | Day Training, Developmentally Disabled Services | 115 112th Ave Ne Apt 627, St Petersburg, FL 33716 | 2016-03-25 |
1346611142 | Theresa Bowen | Occupational Therapist | 810 S. Village Drive N, #103, St. Petersburg, FL 33716 | 2015-10-19 |
1356775423 | Paula J Smith | Massage Therapist | 400 Carillon Pkwy #130, Mountain Tree Massage, LLC, St. Petersburg, FL 33716 | 2013-08-26 |
1699118596 | Kellie L Kintz | Social Worker | 540 Carillon Parkway, Apartment 3026, The Promenade At Carillon, St. Petersburg, FL 33716 | 2013-04-10 |
1427398288 | St. Petersburg General Hospital | General Acute Care Hospital | 11850 Doctor Martin Luther King Jr. St. North, Apt 22-312, St Petersburg, FL 33716 | 2013-02-15 |
1952657314 | Trudy Anna Glover | Occupational Therapy Assistant | 11850 9th Street North, Apt 20208, St Petersburg, FL 33716 | 2012-08-02 |
1275834129 | Prison Rehabilitative Industries & Diversified Enterprises | Dental Laboratory | 12425 28th St. N., Suite 300, St. Petersburg, FL 33716 | 2010-11-09 |
Find all providers in zip 33716 |
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 |
---|---|---|---|---|
1073124582 | Nicholas Alexander Diaz | Social Worker | 1701 Central Ave Unit 251, St Petersburg, FL 33713-8971 | 2020-08-10 |
1255953444 | Olivia Bailey | Social Worker | 190 112th Ave N Apt 1129, St Petersburg, FL 33716-3269 | 2020-05-11 |
1417578295 | Grace Willms | Social Worker | 3530 1st Ave N Ste 111, St Petersburg, FL 33713-8422 | 2020-05-03 |
1730717638 | River Birch Wellness LLC | Social Worker | 4763 1st Ave S, St Petersburg, FL 33711-1005 | 2020-03-28 |
1740823400 | Resolution Today | Social Worker | 1700 Park St N Ste 109, St Petersburg, FL 33710-4300 | 2019-10-24 |
1992362735 | Rahim Samji | Social Worker | 3010 Fairfield Ave S, St Petersburg, FL 33712-1543 | 2019-05-28 |
1386133015 | Angela Ann Little | Social Worker | 920 Country Club Way S, St Petersburg, FL 33705 | 2018-05-08 |
1982109484 | Stefanie Von Ohlen LLC | Social Worker | 900 Central Ave # 302, St Petersburg, FL 33705-1647 | 2018-03-27 |
1306340112 | Premier Counseling and Wellness LLC | Social Worker | 3831 Tyrone Blvd N Ste 201c, St Petersburg, FL 33709-4114 | 2018-03-19 |
1184148439 | Christine Marie Pena | Social Worker | 209 9th Ave N, St Petersburg, FL 33701-1705 | 2017-07-28 |
Find all providers in ST PETERSBURG |
City | ST PETERSBURG |
Zip Code | 33716 |
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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.