Individual provider Active NPI

Ann Jackson Burns, LCSW

  • Clinical Social Worker
  • Lafayette, LA
National Provider Identifier
1104438720
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7752 Issued in LA
Practice address
2600 Johnston St
Lafayette, LA 70503-3269
Phone
(337) 232-1234
NPI assigned
Aug 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7752 LA Primary

Addresses

Primary practice location

2600 Johnston St
Lafayette, LA 70503-3269

Mailing address

2600 Johnston St
Lafayette, LA 70503-3269
Phone (337) 232-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20201216002798 LA Practitioner - Clinical Social Worker 5991117822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Azalea Health ServicesGroup PAC ID 8628432028, 41 clinicians

Practice addresses (Care Compare)

725 Brentwood Blvd
Lafayette, LA 70503-4405
Phone (337) 393-0678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Palliative Medicine of Acadiana CurrentSince Sep 1, 2020 Accepting new patients
Azalea Health Services Clinical CurrentSince Mar 22, 2024 Accepting new patients
Azalea Health Services Texas LLC Clinical PastSince Aug 1, 2024 Accepting new patients
Hospice of Acadiana, Inc. PastSince Aug 23, 2020 Accepting new patients

Locations

803 Albertson Pkwy
Ste B
Broussard, LA 70518
Phone (337) 232-1234

803 Albertson Pkwy
Broussard, LA 70518
Phone (337) 364-3301

2600 Johnston St
Ste 260
Lafayette, LA 70503
Phone (337) 889-5364

2600 Johnston St
Lafayette, LA 70503
Phone (337) 232-1234

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1104438720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 JOHNSTON ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033269",
            "telephone_number": "337-232-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 JOHNSTON ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033269",
            "telephone_number": "337-232-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "ANN",
        "middle_name": "JACKSON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "7752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.