Zachary Burns, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34007410A Issued in IN

Legal business name

ZACHARY BURNS, INC

Practice address

8 Morgan Blvd
Valparaiso, IN 46383-4836

Phone

(219) 916-2521

Fax

(219) 462-4741

NPI assigned

Feb 13, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Zachary Edward Burns, M.A. L.C.S.WNPI 1780026237

Title

President / Clinical Director

Phone

(219) 916-2521

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zachary Edward Burns, M.A.

  • Clinical Social Worker
  • Valparaiso, IN
  • NPI 1780026237
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1013456839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E 150 S",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463839606",
            "telephone_number": "219-916-2521",
            "fax_number": "219-462-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MORGAN BLVD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834836",
            "telephone_number": "219-916-2521",
            "fax_number": "219-462-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACHARY BURNS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT / CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "219-916-2521",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A. L.C.S.W"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007410A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.