Physician Compare National (NPI:1669963096)

HEALTHCARE PROVIDER: BUERNORKIE BEATRICE KLOKPAH LCSW

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1669963096
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3173879087
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180709000600
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	AKINS
	Individual professional last name
Provider First Name	BUERNORKIE
	Individual professional first name
Provider Middle Name	B
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2012
	Individual professional's medical school graduation year
Primary Specialty	CLINICAL SOCIAL WORKER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	217 W 2ND ST
	Group Practice or individual's line 1 address
Line 2 Street Address	207 EUNOIA THERAPY AND SELF DEVELOPMENT
	Group Practice or individual's line 2 address
City	LITTLE ROCK
	Group Practice or individual's city
State	AR
	Group Practice or individual's state
Zip Code	722012521
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5016839365
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y