Individual provider Active NPI

Michelina Burrows, LCSW

  • Clinical Social Worker
  • Marion, IN
National Provider Identifier
1215929260
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34004234A Issued in IN
Practice address
505 N Wabash Ave
Marion, IN 46952-2608
Phone
(765) 662-3971
Fax
(765) 668-6718
NPI assigned
Aug 16, 2005
Last updated
Mar 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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 34004234A IN Primary

Addresses

Primary practice location

505 N Wabash Ave
Marion, IN 46952-2608

Mailing address

505 N Wabash Ave
Marion, IN 46952-2608
Phone (765) 662-3971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20170302002333 IN Practitioner - Clinical Social Worker 3577847979 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Friends Counseling Center IncGroup PAC ID 9133504723, 16 clinicians
Life Center Counseling IncGroup PAC ID 9739695958, 7 clinicians

Practice addresses (Care Compare)

5230 S Western Ave
Marion, IN 46953-5778
Phone (260) 563-8453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Friends Counseling Center, Inc CurrentSince Jan 1, 2026 Accepting new patients
Lakeview Wesleyan Church CurrentSince Nov 8, 2021 Accepting new patients
Life Center Counseling Inc Clinical CurrentSince Jul 1, 2025 Accepting new patients

Locations

5230 S Western Ave
Marion, IN 46953
Phone (765) 674-2208

3565 S State Road 13
Wabash, IN 46992

3565 S State Road 13
#C
Wabash, IN 46992

Organizations & group practices 3

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1215929260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N WABASH AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522608",
            "telephone_number": "765-662-3971",
            "fax_number": "765-668-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N WABASH AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522608",
            "telephone_number": "765-662-3971",
            "fax_number": "765-668-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROWS",
        "first_name": "MICHELINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004234A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IN

Sources for this page

Verify at the official NPI Registry.