MEDICARE: BUERNORKIE BEATRICE KLOKPAH LCSW

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	171M00000X	Case Manager/Care Coordinator
3	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1669963096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BUERNORKIE BEATRICE KLOKPAH LCSW

Provider Business Mailing Address
First Line	:	1919 TAYLOR ST STE F1230
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-3973
Country	:	US
Telephone Number	:	501-683-9365
Fax Number	:

Provider Business Practice Location Address
First Line	:	1919 TAYLOR ST STE F1230
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-3973
Country	:	US
Telephone Number	:	501-683-9365
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2018
Last Update Date	:	01/02/2024

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Directions to “ BUERNORKIE BEATRICE KLOKPAH LCSW” Practice Location

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