DIANNE J BURD (LICSW) – Clinical Social Worker, NPI 1225084775

DIANNE J BURD (LICSW) is a healthcare provider. based in Fridley, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 09833 (MN). The NPI Number for DIANNE J BURD (LICSW) is 1225084775

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
DIANNE J BURD (LICSW)
NPI
1225084775
Phone
(763) 236-3800
Address
520 Osborne Rd NE Ste 210
Enumeration Date
26 May 2006
Last Update Date
17 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7632363800
Graduation Year
1992 (34 years ago)
PAC ID
8224041546
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20060802000544
Address ID
MN554322718FR520XXNEXX403

Contacts

Secure Messaging
dburd668549@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for DIANNE J BURD (LICSW)

  • 520 Osborne Rd NE Ste 210

    Fridley, MN 554322718

    Phone: (763) 236-3800

    Fax: (763) 236-3821

    Type: Location

  • 2925 CHICAGO AVE

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-5000

    Type: Mailing

  • 1900, Silver Lake Road Northwest, New Brighton, Ramsey County, Minnesota, 55112, United States

    NEW BRIGHTON, MN 551121786

    Phone: (651) 625-9566

    Fax: (651) 628-0411

    Type: Mailing

  • 270, Weir Drive, Woodbury, Washington County, Minnesota, 55125, United States

    WOODBURY, MN 551256741

    Phone: (651) 714-9646

    Fax: (651) 714-9647

    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: 2006-08-02

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
I20060802000544IClinical Social WorkerMNTBD

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 55432)

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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: 4587573613View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm DIANNE J BURD (LICSW)'s NPI?
Yes. DIANNE J BURD (LICSW) is listed with NPI 1225084775 in the public NPI dataset.
Is DIANNE J BURD (LICSW) still practicing?
DIANNE J BURD (LICSW) is currently listed as active in the public NPI registry.
What is DIANNE J BURD (LICSW)'s primary classification?
Clinical Social Worker is the headline specialty for DIANNE J BURD (LICSW) here. Clinical services aligned with this taxonomy classification.
What area does DIANNE J BURD (LICSW) serve?
DIANNE J BURD (LICSW)'s listing highlights Fridley, Minnesota; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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