Individual ProviderJillyn Kneeland BurkSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5965 S 900 E, Salt Lake City, UT 84121-1720(801) 263-7138PECOS EnrollmentBased on the most recent information from CMS, provider Jillyn Kneeland Burk does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1417124595Provider TypeIndividualFull NameBurk, Jillyn KneelandTitleMrs.CredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date5/8/2008Last Updated5/1/2015Contact InformationPractice LocationPractice Address5965 S 900 E, Salt Lake City, UT 84121-1720Phone(801) 263-7138FaxUnlisted FaxMailing LocationMailing Address5965 S 900 E, Salt Lake City, UT 84121-1720Phone(801) 263-7138FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense6935666-3501UtahProvider IdentifiersIDDescriptionIssuerID000065887DescriptionOtherIssuerPTANUtah