GWENDOLYN LOUISE BURK


Address: 10300 4th St N, St Petersburg, FL 33716-3813
Phone: 5617901191

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
SW6333 FL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL SOCIAL WORK SW6333 01

Office Location

Street Address 10300 4TH ST N
City ST PETERSBURG
State FL
Zip Code 33716-3813

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City ST PETERSBURG
Zip Code 33716

Improve Information

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Dataset Information

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.

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