Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Colyn Patrick Burbank, LISW

Individual provider Clinical Social Worker · NPI 1306668405

Colyn Patrick Burbank, LISW is a Clinical Social Worker in Des Moines, Iowa. Qualified in 2020, 6 years ago. Practices with Sampson Family Therapy Services LLC, a 9-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2024
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

309 Court Ave Ste 241
Des Moines, IA 50309-2282
Phone: (515) 901-2974
Fax: (515) 875-4817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1306668405
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW
Sole proprietorNo
NPI enumeratedOctober 29, 2024
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024
Mailing address309 Court Ave Ste 241, Des Moines, IA 50309-2282

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Sampson Family Therapy Services Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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