Tom C. Burditt, Jr. in Austin - Clinical
Tom C. Burditt, Jr. - NPI 1053408658
Tom C. Burditt, Jr. is a Clinical in Austin, Texas. Tom C. Burditt, Jr. practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tom C. Burditt, Jr. is 1053408658. The last update date is 2008-06-09.
Tom C. Burditt, Jr.'s current location address is 2630 Exposition Blvd Ste 116, Austin, Texas. You can contact this provider via phone number 5123220209. The mailing address for Tom C. Burditt, Jr. is 2630 Exposition Blvd Ste 116, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tom C. Burditt, Jr. |
|---|---|
| Address | 2630 Exposition Blvd Ste 116, Austin, Texas |
| Phone Number | 5123220209 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SOLE PROPR |
|---|---|
| Authorized Official Name | Burditt Connolly Tom |
| Credentials | LCSW |
| Telephone Number | 5123220209 |
NPI Number Detail
| NPI Number | 1053408658 |
|---|---|
| Provider Enumeration Date | 2006-10-06 |
| Last Updated Date | 2008-06-09 |
Provider Mailing Address Detail
| Address | 2630 Exposition Blvd Ste 116 |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787031758 |
| Phone Number | 5123220209 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 209 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00S70B | TX | BLUE CROSS |
Post Comment/ Review Below
What is the Tom C. Burditt, Jr.'s 1053408658?
The Tom C. Burditt, Jr.'s NPI (National Provider Identifier) Number is 1053408658. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Tom C. Burditt, Jr. is geographically located?
The Tom C. Burditt, Jr. is physically situated at the following location: 2630 Exposition Blvd Ste 116, Austin, TX, 787031758.
What is Tom C. Burditt, Jr.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Tom C. Burditt, Jr. is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Tom C. Burditt, Jr. receive the assignment of its 1053408658 from the Centers for Medicare & Medicaid Services?
The Tom C. Burditt, Jr. was issued its 1053408658 by the Centers for Medicare & Medicaid Services on 2006-10-06.
When was the information regarding Tom C. Burditt, Jr. most recently updated?
The details pertaining to the Tom C. Burditt, Jr., including its address, specialty, and other relevant information, were last refreshed on 2008-06-09.
NPI Number: 1962405167
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