Rita M Burley, L.I.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

06119 Issued in IA

Practice address

311 S Clark St
Carroll, IA 51401-3038

Phone

(712) 792-3581

Fax

(712) 792-2124

NPI assigned

Apr 17, 2007

Last updated

Oct 19, 2022By 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 IA

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lutheran Family ServiceGroup PAC ID 5193718237, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Lutheran Family Service

  • Voluntary or Charitable Agency
  • Fort Dodge, IA
  • NPI 1316059496
  Medicare reassignment Care Compare group NPD
• West Iowa Community Mental Health Center

  • Mental Health Counselor
  • Denison, IA
  • NPI 1609972389
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1063638286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3093 JENNINGS AVE",
            "city": "ROCKWELL CITY",
            "state": "IA",
            "postal_code": "505797688",
            "telephone_number": "712-210-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S CLARK ST",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013038",
            "telephone_number": "712-792-3581",
            "fax_number": "712-792-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLEY",
        "first_name": "RITA",
        "middle_name": "M",
        "credential": "L.I.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janelle Rae Brungardt, COTA/L
• Heather Nicole Bruning
• Erin Buehler, PHARMD
• Rachel Catherine Bump, DPT
• Jeffrey Allen Burbank, D.C.
• Deborah Burnett, PMHNP-BC
• Burtik Dialysis LLC (Carroll Dialysis)
• Diane M. Cardwell, PA-C, ARNP
• Caring Hearts of West Central Iowa
• Caring Hearts of West Central Iowa, LLC

• Clinical Social Worker in Carroll, IA
• Providers in Carroll, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.