Shawna Marie Burnham, LICSW
Social Worker, Clinical in Bemidji, MN. Individual provider (NPI-1).
NPI number1770099731
StatusActive
Last updated in NPPESFeb 16, 2026
Details
- NPI
- 1770099731
- Entity type
- Individual (NPI-1)
- Name
- Shawna Marie Burnham
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 28, 2017
- Certification date
- Feb 16, 2026
- Last updated
- Feb 16, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 26045 | MN | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 304730 | MN |
Practice location
112 1st St WBemidji, MN 56601-4002
Phone 218-888-8032 · Fax 218-308-6438
Mailing address
112 1st St WBemidji, MN 56601-4002
Phone 218-888-8032 · Fax 218-308-6438
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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