Active NPI
John Finley Burton, LISW
- Clinical Social Worker
- Elyria, OH
National Provider Identifier
1255425716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I0003823
- Practice address
- 750 South Abbe Road
Psych and Psych Services
Elyria, OH 44035 - Phone
- (440) 323-5121
- Fax
- (440) 323-5134
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I0003823 | OH | Primary |
Addresses
Primary practice location
750 South Abbe Road
Psych and Psych Services
Elyria, OH 44035
Mailing address
3430 Avalon Road #302
Shaker Heights, OH 44120
Phone (216) 991-1821
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040804000483 | OH | Practitioner - Clinical Social Worker | 5193796084 | Practice locations: Rocky River, OH |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
20800 Ctr Ridge Rd
LL36
Rocky River, OH 44116-4312
Phone (216) 991-1821
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I0003823 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255425716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3430 AVALON ROAD #302",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "44120",
"telephone_number": "216-991-1821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 SOUTH ABBE ROAD",
"address_2": "PSYCH AND PSYCH SERVICES",
"city": "ELYRIA",
"state": "OH",
"postal_code": "44035",
"telephone_number": "440-323-5121",
"fax_number": "440-323-5134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURTON",
"first_name": "JOHN",
"middle_name": "FINLEY",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I0003823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elyria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.