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

Kelly J Burg, LCSW, SAC

Individual provider Mental Health Counselor · NPI 1639421373

Kelly J Burg, LCSW, SAC is a Clinical Social Worker in Lac Du Flambeau, Wisconsin. Qualified in 2013, 13 years ago. Practices with Lac Du Flambeau Band of Lake Superior Chippewa Indians, a 19-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
13
Licensed in
WI
In the registry since
2012
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

533 Peace Pipe Rd
Lac Du Flambeau, WI 54538-0189
Phone: (715) 588-1511
Fax: (715) 588-3903
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 8996-123 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 15508-131 (WI)

Record details

NPI number1639421373
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , SAC
Sole proprietorNo
NPI enumeratedOctober 4, 2012
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Lac Du Flambeau Band Of Lake Superior Chippewa Indians — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lac Du Flambeau