Active NPI
Jeffrey Thomas Burns, LCSW
- Clinical Social Worker
- Naperville, IL
National Provider Identifier
1013212414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149014730
- Practice address
- 616 W 5TH Ave
Suite B
Naperville, IL 60563-2914 - Phone
- (630) 717-7771
- NPI assigned
- Jan 14, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149014730 | IL | Primary |
Addresses
Primary practice location
616 W 5TH Ave
Suite B
Naperville, IL 60563-2914
Mailing address
PO Box 3837
Naperville, IL 60567-3837
Phone (630) 926-7259
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149014730 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318291200000",
"number": "1013212414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3837",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605673837",
"telephone_number": "630-926-7259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 W 5TH AVE",
"address_2": "SUITE B",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605632914",
"telephone_number": "630-717-7771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "JEFFREY",
"middle_name": "THOMAS",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-14",
"last_updated": "2011-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149014730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.