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Sharice Burnett, Lcsw, LLC

Social Worker, Clinical in Portland, OR. Organization (NPI-2).

NPI number1801490263
StatusActive
Last updated in NPPESJan 12, 2024

Details

NPI
1801490263
Entity type
Organization (NPI-2)
Legal business name
Sharice Burnett, Lcsw, LLC
Organization subpart
No
Enumeration date
Nov 25, 2020
Certification date
Jan 10, 2024
Last updated
Jan 12, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

2009 Ne Edgewater Drive
Portland, OR 97211

Phone 971-227-6840

Mailing address

10350 N Vancouver Way Ste 408
Portland, OR 97217-7530

Phone 971-227-6840

Authorized official

Sharice Burnett
Mental Health Therapist
9712276840

Is something wrong?

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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