Jill Marie Burns, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05274000 Issued in NJ

Practice address

78 Route 23 N
Suite 2
Hamburg, NJ 07419-1418

Phone

(973) 209-4300

NPI assigned

May 18, 2006

Last updated

Nov 1, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakeside Counseling Associates, LLCGroup PAC ID 0840568754, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lakeside Counseling Associates, LLC

  • Professional Counselor
  • Sparta, NJ
  • NPI 1578010674

  Clinical

  Medicare reassignment Care Compare group NPD
• Newbridge Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Parsippany, NJ
  • NPI 1982768420
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1013960491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91",
            "city": "VERNON",
            "state": "NJ",
            "postal_code": "074620091",
            "telephone_number": "973-764-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 ROUTE 23 N",
            "address_2": "SUITE 2",
            "city": "HAMBURG",
            "state": "NJ",
            "postal_code": "074191418",
            "telephone_number": "973-209-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05274000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Mercedes Bogdewicz
• Juanito Borromeo
• Brittany Brusberg
• Dylan Taylor Bucenec, LSW
• Byron Burnbaum
• Gloria M Canizales, D.O.
• Capitol Care Inc.
• Capitol Care Inc.
• Capitol Care Inc.
• Capitol Care Inc.

• Clinical Social Worker in Hamburg, NJ
• Providers in Hamburg, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.