Carrie A Burris, LICSW is a
Social Worker - Clinical based in Ray, North Dakota. Carrie A Burris is licensed to practice in North Dakota (license number 5619) and her current practice location is
24 W Railroad Ave Suite 16, Ray, North Dakota. She can be reached at her office (for appointments etc.) via phone at
(701) 568-5600.
NPI number for Carrie A Burris is 1053758300 and her current mailing address is 1500 14th St W Ste 290, Williston, North Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053758300.
Healthcare Provider's Profile
| Full Name | Carrie A Burris |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 24 W Railroad Ave Suite 16, Ray, North Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1053758300
- Provider Enumeration Date: 05/28/2013
- Last Update Date: 05/21/2019
Medical Identifiers
Medical identifiers for Carrie A Burris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053758300 | NPI | - | NPPES |
| 5619 | Other | ND | ND BOARD OF SW EXAMINERS |
| LCSW-35774 | Other | ID | ID BUREAU OF OCCUPATIONAL LICENSES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | LCSW-35774 (Idaho) | Secondary |
| 1041C0700X | Social Worker - Clinical | 5619 (North Dakota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carrie A Burris is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Carrie A Burris, LICSW
1500 14th St W Ste 290,
Williston, ND 58801-4078
Ph: (701) 334-6442 | Carrie A Burris, LICSW
24 W Railroad Ave Suite 16,
Ray, ND 58849
Ph: (701) 568-5600 |
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