Individual provider · Type 1 NPI

Shawna Marie Burnham, LICSW

Clinical Social Worker · Bemidji, MN

NPI number 1770099731 Active

Practice location

112 1st St W
Bemidji, MN 56601-4002

Call (218) 888-8032 Map

Fax (218) 308-6438

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X304730 (MN)
Clinical Social Worker Primary 1041C0700X26045 (MN)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1770099731

Shawna Marie Burnham, LICSW's National Provider Identifier is 1770099731, issued on Dec 28, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bemidji, MN. The record was last updated on Feb 16, 2026.