DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KELLY BURNETT LCSW

MEDICARE: KELLY BURNETT LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker36591TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100000016MROTHERTXBLUE CROSS

General Provider Information

NPI Number : 1649360652
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY BURNETT LCSW
Provider Business Mailing Address
First Line : 1807 E 39TH ST
Second Line :
City : AUSTIN
State : TX
Zip : 78722-1319
Country : US
Telephone Number : 512-940-5580
Fax Number :
Provider Business Practice Location Address
First Line : 601 W 18TH ST
Second Line :
City : AUSTIN
State : TX
Zip : 78701-1111
Country : US
Telephone Number : 512-940-5580
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2006
Last Update Date : 07/08/2007

Similar Medicare Providers

1396677308 — BYRON SEVE CANALES LMSW, LCDC-I
Practice Location Address:
601 W 18TH ST
AUSTIN, TX
78701-1111
Practice Phone: 512-456-3304
Practice Fax:
1912060328 — LOUIS BENJAMIN LAVES-WEBB
Practice Location Address:
601 W 18TH ST
AUSTIN, TX
78701-1111
Practice Phone: 512-914-6635
Practice Fax:
1750404653 — AMY E. BRYAN LCSW, RPT
Practice Location Address:
601 W 18TH ST
AUSTIN, TX
78701-1111
Practice Phone: 512-589-4849
Practice Fax:
1275734733 — MS. HOLLY KATHLEEN JOHNSTON LCSW
Practice Location Address:
601 W 18TH ST
AUSTIN, TX
78701-1111
Practice Phone: 512-947-8655
Practice Fax: 512-268-4152
1437349230 — MRS. FIONA KNIGHT RYON LCSW, RPT
Practice Location Address:
601 W 18TH ST
AUSTIN, TX
78701-1111
Practice Phone: 512-560-6688
Practice Fax:
1154568160 — ARI DIAMANDOPOULOS LCSW
Practice Location Address:
601 W 18TH ST
AUSTIN, TX
78701-1111
Practice Phone: 512-477-6262
Practice Fax: 512-477-6262

Directions to “ KELLY BURNETT LCSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.