Healthcare Provider Details

I. General information

NPI: 1144369968
Provider Name (Legal Business Name): AMY DEMARE BURTON LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY ELIZABETH DEMARE RSW

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4572 S HAGADORN RD EAST LANSING
EAST LANSING MI
48823-5385
US

IV. Provider business mailing address

812 E JOLLY RD LANSING
LANSING MI
48910-6818
US

V. Phone/Fax

Practice location:
  • Phone: 517-481-2133
  • Fax:
Mailing address:
  • Phone: 517-346-8267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801086391
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: