MRS. KIMBERLY TINSLEY BURDICK (LMSW) – Clinical Social Worker, NPI 1073635272

MRS. KIMBERLY TINSLEY BURDICK (LMSW) is a healthcare provider. based in Sandusky, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. 6801065333 (MI). The NPI Number for MRS. KIMBERLY TINSLEY BURDICK (LMSW) is 1073635272

Main info

Female
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KIMBERLY TINSLEY BURDICK (LMSW)
NPI
1073635272
Phone
(810) 648-3248
Address
1240 W SANILAC RD
Enumeration Date
6 April 2007
Last Update Date
10 June 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
81098791005002
Graduation Year
1994 (32 years ago)
PAC ID
2163495995
Group Practice PAC ID
0042450553
Professional Enrollment ID
I20040818001093
Address ID
MI480606546PO2601XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,820 CLINICAL SOCIAL WORKER in MI

Provider Addresses for MRS. KIMBERLY TINSLEY BURDICK (LMSW)

  • 1240 W SANILAC RD

    SUITE D

    SANDUSKY, MI 484719654

    Phone: (810) 648-3248

    Fax: (810) 648-3907

    Type: Mailing

  • 1240 WEST SANILAC RD

    SUITE D

    SANDUSKY, MI 484719654

    Phone: (810) 648-3248

    Fax: (810) 648-3907

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-08-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040818001093IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48471)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042450553View full group profile

Reviews

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Frequently asked questions

How do payers reference MRS. KIMBERLY TINSLEY BURDICK (LMSW)?
For MRS. KIMBERLY TINSLEY BURDICK (LMSW), use NPI 1073635272 as the unique 10-digit identifier.
Is MRS. KIMBERLY TINSLEY BURDICK (LMSW) still an active registrant?
MRS. KIMBERLY TINSLEY BURDICK (LMSW) carries an active NPI according to the public dataset.
How would a patient describe MRS. KIMBERLY TINSLEY BURDICK (LMSW)'s focus?
For MRS. KIMBERLY TINSLEY BURDICK (LMSW), the primary taxonomy reads as Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. KIMBERLY TINSLEY BURDICK (LMSW)?
Travel planning: use Sandusky, Michigan as the reference point for MRS. KIMBERLY TINSLEY BURDICK (LMSW), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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