Individual provider Active NPI

Jesse Burns, LCSW

  • Clinical Social Worker
  • Memphis, TN
National Provider Identifier
1194470492
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9669 Issued in TN
Practice address
2150 Whitney Ave
Memphis, TN 38127-6662
Phone
(901) 353-5440
NPI assigned
Feb 15, 2022
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 13558 TN
Clinical Social Worker 1041C0700X 9669 TN Primary

Addresses

Primary practice location

2150 Whitney Ave
Memphis, TN 38127-6662

Mailing address

2220 Union Ave
Memphis, TN 38104-4315
Phone (901) 567-3554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20250909000435 TN Practitioner - Clinical Social Worker 1254833189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Healthcare ServicesGroup PAC ID 4082766621, 28 clinicians

Practice addresses (Care Compare)

2150 Whitney Ave
Memphis, TN 38127-6662
Phone (901) 353-5440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9669TNMDDentist
13558TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Healthcare Services Clinical CurrentSince Jun 5, 2025 Accepting new patients
Alliance Healthcare Services CurrentSince Jun 5, 2025 Accepting new patients

Locations

2150 Whitney Ave
Memphis, TN 38127
Phone (901) 353-5440

2220 Union Ave
Memphis, TN 38104
Phone (901) 369-1480

2673 Yale Ave
Memphis, TN 38112
Phone (901) 262-4112

3810 Winchester Rd
Memphis, TN 38118
Phone (901) 369-1400

Organizations & group practices 2

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": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1194470492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 UNION AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381044315",
            "telephone_number": "901-567-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 WHITNEY AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381276662",
            "telephone_number": "901-353-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "JESSE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-15",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "13558",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "9669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.