Individual
CRISTIN M BURKELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, APSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
132897-121
WI
1041C0700X
Clinical Social Worker
Primary
12499-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508482647
—
WI
01
—
55429
MERCYCARE INSURANCE
WI
Enumeration date
06/24/2020
Last updated
08/11/2025
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