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

Individual provider Mental Health Counselor · NPI 1104814789

Mr. Mike Vincent Burckhard, LICSW is a Clinical Social Worker in Minot, North Dakota. Qualified in 1987, 39 years ago. Accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
39
Licensed in
ND
In the registry since
2005
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

315 Main St S Ste 315
Minot, ND 58701-3956
Phone: (701) 852-5876
Fax: (701) 852-5883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 120 (ND)

Record details

NPI number1104814789
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedOctober 8, 2005
Last updated in NPPESNovember 18, 2014

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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