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NPI Code Detail

MEDICARE: BRITTONY BURNHAM LSW, MSW

MEDICARE:   BRITTONY  BURNHAM  LSW, MSW
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
1104100000XSocial Worker33012925AIN

General Provider Information

NPI Number : 1659269538
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTONY BURNHAM LSW, MSW
Provider Business Mailing Address
First Line : 529 BITTER BARK LN
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46227-2743
Country : US
Telephone Number : 317-313-6830
Fax Number :
Provider Business Practice Location Address
First Line : 4010 W 86TH ST STE D
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-1779
Country : US
Telephone Number : 317-647-0102
Fax Number : 317-868-7447
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2025
Last Update Date : 06/27/2025

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Directions to “ BRITTONY BURNHAM LSW, MSW” Practice Location

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