KELLY BURDICK LCDC
NPI 1477823664
Counselor - Addiction (Substance Use Disorder) in Ft Worth, TX

Q: What is Kelly Burdick's NPI number?

The NPI number for Kelly Burdick is 1477823664. It was assigned to this individual provider in the NPPES registry on January 5, 2012.

Q: What is Kelly Burdick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Burdick was last updated on January 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 05, 2012

4937 DILWORTH CT, FT WORTH, TX 76116(817) 730-1482 Get Directions Write a Review

NPPES record last updated: January 5, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly Burdick Lcdc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY BURDICK LCDC (NPI 1477823664) is an individual addiction (substance use disorder) provider in Ft Worth, Texas, licensed in Texas (9848) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1477823664

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameKELLY BURDICKCredential: LCDC

Location Address4937 DILWORTH CTFt Worth, TX 76116-8836

Mailing Address4937 Dilworth CtFt Worth, TX 76116-8836 · (817) 730-1482

Phone(817) 730-1482

Sole ProprietorYes

Enumeration DateJanuary 5, 2012

✔ NPI 1477823664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in TX · 9848

4937 DILWORTH CT, Ft Worth, TX 76116

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Burdick's NPI number?

The NPI number for Kelly Burdick is 1477823664. It was assigned to this individual provider in the NPPES registry on January 5, 2012.

Where is Kelly Burdick located?

Kelly Burdick practices at 4937 Dilworth Ct, Ft Worth, TX 76116. The listed phone number is (817) 730-1482.

What is Kelly Burdick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kelly Burdick was last updated on January 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.