National Provider Identifier

Angela M Burd, LCSW

Angela M Burd, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Penn Yan, NY and a listed phone number of (315) 640-3570.

NPI 1427699891Penn Yan, NYClinical Social Worker

Profile Overview

NPI
1427699891
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
October 07, 2019
Last Updated
January 29, 2024

Practice Location

  • 2462 Route 54A Ste 102
  • Penn Yan, NY 14527-8836

Phone: (315) 640-3570

Specialties

  • Clinical Social Worker (1041C0700X)
  • Social Worker (104100000X)
Full Record
NPI
1427699891
Entity Type
Individual
Last Name
Burd
First Name
Angela
Middle Name
M
Credential
LCSW
Mailing Street Address
2462 Route 54A Ste 102
Mailing City
Penn Yan
Mailing State
NY
Mailing ZIP Code
14527-8836
Mailing Country
US
Mailing Phone
(315) 640-3570
Practice Street Address
2462 Route 54A Ste 102
Practice City
Penn Yan
Practice State
NY
Practice ZIP Code
14527-8836
Practice Country
US
Practice Phone
(315) 640-3570
Enumeration Date
October 07, 2019
Last Updated
January 29, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
January 29, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X), Social Worker (104100000X)