CONSTANCE ANN BURDICK (NPI# 1699880930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699880930 |
| Entity Type | Individual |
| Full Name | CONSTANCE ANN BURDICK |
| Credential | LCSW, LCDC |
| Practice Address |
2701 Burchill Rd N Fort Worth TX 76105-3012 |
| Practice Telephone | 8175340814 |
| Practice Fax Number | 8175361556 |
| Mailing Telephone | 8175340814 |
| Mailing Fax Number | 8175361556 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
7320 | TX | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
25381 | TX | Behavioral Health & Social Service Providers |
| Street Address |
2701 BURCHILL RD N |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76105-3012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962445791 | Catholic Charities of Fort Worth, Inc | Counselor | 2701 Burchill Rd N, Fort Worth, TX 76105-3012 | 2006-06-13 |
| 1447482641 | Charles Henry Lavine | Counselor | 2701 Burchill Rd N, Fort Worth, TX 76105-3012 | 2009-08-20 |
| 1578799649 | Jennifer Lee Sheffield | Registered Nurse | 2701 Burchill Rd N, Fort Worth, TX 76105-3012 | 2009-06-03 |
| 1922262021 | Nicola Alexandra Johnson | Counselor | 2701 Burchill Rd N, Fort Worth, TX 76105 | 2008-07-17 |
| 1386807204 | Catholic Charities Diocese of Fort Worth Inc | Contractor | 2701 Burchill Rd N, Fort Worth, TX 76105-3012 | 2008-07-10 |
| 1104938968 | Merry Louise Floyd | Social Worker | 2701 Burchill Rd N, Fort Worth, TX 76105-3012 | 2006-08-31 |
| 1144331117 | Linda Eatenson | Counselor | 2701 Burchill Rd N, Fort Worth, TX 76105-3012 | 2006-08-31 |
| 1205941598 | Mary Elouise Graves | Marriage & Family Therapist | 2701 Burchill Rd N, Fort Worth, TX 76105-3012 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477030567 | Brandon Ronald Lee | Optometrist | 2644 E Berry St., Fort Worth, TX 76105 | 2018-07-23 |
| 1366935165 | National Vision, Inc. | Technician/Technologist | 2644 East Berry Street, Fort Worth, TX 76105 | 2018-06-07 |
| 1609363100 | Courtney Mae Gramley | Specialist/Technologist | 1201 Wesleyan St., Fort Worth, TX 76105 | 2018-04-19 |
| 1992213078 | Fresenius Medical Care Se Fort Worth, LLC | Clinic/Center | 3708 E Rosedale St, Fort Worth, TX 76105 | 2018-01-11 |
| 1285978692 | Wal-mart Stores Texas LLC | Technician/Technologist | 2900 Renaissance Square, Fort Worth, TX 76105 | 2012-11-26 |
| 1548584998 | Access Dental of Berry, P.a. | Dentist | 4201 E. Berry Street, Suite #15, Fort Worth, TX 76105 | 2010-03-15 |
| 1811211261 | Access Dental of Rosedale P.a. | Dentist | 3620 E. Rosedale Street, Fort Worth, TX 76105 | 2010-03-15 |
| 1396345799 | Danielle Hampton | Pharmacist | Walmart Pharmacy, 2900 Renaissance Square, Fort Worth, TX 76105 | 2020-10-27 |
| 1174041578 | Destonee Wilson | Physician Assistant | 1650 S Beach St, Fort Worth, TX 76105 | 2017-09-06 |
| 1184019929 | Sheelarani Joseph | Nurse Practitioner | 1650 S Beach St, Fort Worth, TX 76105 | 2015-03-30 |
| Find all providers in zip 76105 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386255453 | Anita Lynne Fulmer | Counselor | 6270 Salem Cir Apt 120, Fort Worth, TX 76132-3003 | 2020-08-12 |
| 1215551031 | Leah Klyce Cothran | Counselor | 4200 S Hulen St Ste 674, Fort Worth, TX 76109-4987 | 2020-06-08 |
| 1194284885 | Sandra Wenclasky | Counselor | 3604 Winifred Dr, Fort Worth, TX 76133-2127 | 2019-03-13 |
| 1285113746 | Deirdre P Browne | Counselor | 1500 E El Paso, Fort Worth, TX 76102 | 2018-08-07 |
| 1306333562 | Joel Campos | Counselor | 4200 South Fwy Ste 210, Fort Worth, TX 76115-1400 | 2018-04-13 |
| 1750899225 | Jason King | Counselor | 9705 Polk Ave, Fort Worth, TX 76177-7379 | 2018-01-17 |
| 1598274771 | Donna Mcdonald Stout | Counselor | 3001a W 5th St, Fort Worth, TX 76107-2206 | 2017-09-20 |
| 1053831016 | Emily Rana Hanson | Counselor | 1801 N Riverside Dr, Fort Worth, TX 76111-2732 | 2017-06-21 |
| 1780125369 | Nichole Carter | Counselor | 4820 Valley Springs Trl, Fort Worth, TX 76244-5904 | 2017-03-15 |
| 1285181727 | Fort Wellness, Pllc | Counselor | 1809 Ridgmar Blvd, Fort Worth, TX 76116-2018 | 2016-09-01 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76105 |
Please comment or provide details below to improve the information on CONSTANCE ANN BURDICK.
| 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.