Wellformed AI

NPI 1912097262 · live from the CMS NPI Registry

Michael R Burpee, LCSW

Social Worker, Clinical in Jber, AK. National Provider Identifier 1912097262, active.

NPI record

NPI1912097262 Type 1 · individual
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506
Practice phone907-201-3995
EnumeratedOctober 14, 2006
Last updatedAugust 25, 2023
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700XLW00005633 (WA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.