Kristin Burghardt, LCSW is a
Social Worker - Clinical based in Chenango Forks, New York. Kristin Burghardt is licensed to practice in New York (license number 075576) and her current practice location is
638 Squirrel Hill Rd, Chenango Forks, New York. She can be reached at her office (for appointments etc.) via phone at
(607) 656-9004.
NPI number for Kristin Burghardt is 1225782667 and her current mailing address is 524 Foster Hill Rd, Greene, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225782667.
Healthcare Provider's Profile
Full Name | Kristin Burghardt |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 638 Squirrel Hill Rd, Chenango Forks, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225782667
- Provider Enumeration Date: 02/04/2022
- Last Update Date: 02/04/2022
Medical Identifiers
Medical identifiers for Kristin Burghardt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225782667 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 075576 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristin Burghardt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kristin Burghardt, LCSW 524 Foster Hill Rd, Greene, NY 13778-2280 Ph: (607) 875-5016 | Kristin Burghardt, LCSW 638 Squirrel Hill Rd, Chenango Forks, NY 13746-2145 Ph: (607) 656-9004 |
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