Individual provider Active NPI

Ross Dunstan King Burns, LCSW

  • Clinical Social Worker
  • Palm Springs, CA
National Provider Identifier
1134147754
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW72686 Issued in CA
Practice address
225 S Civic Dr Ste 2-11
Palm Springs, CA 92262-7228
Phone
(442) 637-3806
NPI assigned
Jul 18, 2006
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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 LCSW72686 CA Primary

Addresses

Primary practice location

225 S Civic Dr Ste 2-11
Palm Springs, CA 92262-7228

Mailing address

67437 Rio Vista Dr
Cathedral City, CA 92234-8632
Phone (442) 637-3806

Other practice location 1

67437 Rio Vista Dr
Cathedral City, CA 92234-8632
Phone (415) 221-4810 ext. 24035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240808000619 CA Practitioner - Clinical Social Worker 0648717611 Practice locations: Palm Springs, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

225 S Civic Dr
Suite 2 11
Palm Springs, CA 92262-7228
Phone (760) 656-0336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW72686CAMDClinical Social Worker
72686CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth Garett PHD Inc CurrentSince Jun 9, 2024 Accepting new patients

Locations

225 S Civic Dr
Ste 2-11
Palm Springs, CA 92262
Phone (760) 327-9566

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1134147754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67437 RIO VISTA DR",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922348632",
            "telephone_number": "442-637-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S CIVIC DR STE 2-11",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627228",
            "telephone_number": "442-637-3806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67437 Rio Vista Dr",
            "address_purpose": "LOCATION",
            "city": "Cathedral City",
            "state": "CA",
            "postal_code": "922348632",
            "country_code": "US",
            "telephone_number": "415-221-4810 x24035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNS",
        "first_name": "ROSS",
        "middle_name": "DUNSTAN KING",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW72686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.