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1265055016 NPI number — KIRA WHITNEY BURNETT LMSW

NPI Number: 1265055016
Health Care Provider/Practitioner: KIRA WHITNEY BURNETT LMSW

Information about “1265055016” NPI (KIRA WHITNEY BURNETT LMSW) exists in 1265055016 in HTML format HTML  |  1265055016 in plain Text format TXT  |  1265055016 in PDF (Portable Document Format) PDF  |  1265055016 in an XML format XML  formats.

NPI Number : 1265055016 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265055016",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BURNETT",
    "FirstName": "KIRA",
    "MiddleName": "WHITNEY",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "968 E MAHAN AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HAZEL PARK",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48030-1229",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "248-925-8360",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "38600 VAN DYKE AVE STE 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STERLING HEIGHTS",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48312-1171",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "313-312-4855",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/27/2020",
    "LastUpdateDate": "06/30/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "104100000X",
          "TaxonomyName": "Social Worker",
          "LicenseNumber": "6801115687",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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