Individual
GWENDOLYN D BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LSCSW
Contact information
Practice address
1010 CARONDELET DR, SUITE 412, KANSAS CITY, MO 64114-4859
(816) 210-4982
(816) 763-6540
Mailing address
1010 CARONDELET DR, SUITE 412, KANSAS CITY, MO 64114-4859
(816) 210-4982
(816) 763-6540
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2003003710
MO
1041C0700X
Clinical Social Worker
2291
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35268043
BCBSKC PPO
MO
01
—
35405
COMMCARE
MO
05
—
499357002
—
MO
05
—
499357010
—
MO
05
—
499357028
—
MO
01
—
7736772
AETNA
MO
01
—
9369366
PHCS
MO
01
—
C16D620
MEDICARE B WHEATLANDS
MO
Enumeration date
06/04/2006
Last updated
01/18/2008
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