DUSTIN THEODORE BURDICK LLMSW NPI 1053042200

NPI Information

  • NPI: 1053042200
  • Provider Name: DUSTIN THEODORE BURDICK, LLMSW
  • Classification: Social Worker - 104100000X
  • Entity Type: Individual
  • Address: 3050 IVANREST AVE SW STE D
    GRANDVILLE, MI
    ZIP 49418
  • Phone: (616) 481-3784

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NPI Details

Dustin Theodore Burdick, LLMSW is a social worker in Grandville, MI. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Dustin Theodore Burdick, LLMSW NPI is 1053042200. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3050 IVANREST AVE SW STE D
GRANDVILLE, MI
ZIP 49418-400
Phone: (616) 481-3784
Fax: (866) 496-2998

The enumeration date for this NPI number is 6/20/2022 and was last updated on 6/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial Worker6851113939MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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