Individual provider Active NPI

Diana Sue Burns, LCSW, LCAS

  • Clinical Social Worker
  • McLeansville, NC
National Provider Identifier
1295702900
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005203 Issued in NC
Practice address
4902 Northbend Rd
MC Leansville, NC 27301-9794
Phone
(336) 404-2662
NPI assigned
Mar 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1301 NC
Clinical Social Worker 1041C0700X C005203 NC Primary

Addresses

Primary practice location

4902 Northbend Rd
MC Leansville, NC 27301-9794

Mailing address

4902 Northbend Rd
MC Leansville, NC 27301-9794
Phone (336) 404-2662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100416000087 NC Practitioner - Clinical Social Worker 1557498979 Reassigns benefits to 1 organization
I20180606003087 FL Practitioner - Clinical Social Worker 1557498979 Reassigns benefits to 1 organization
I20231030002134 DC Practitioner - Clinical Social Worker 1557498979 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C005203NCMDClinical Social Worker
1301NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Sep 20, 2023 Accepting new patients
Shine Medical Providers PC Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Interoperability endpoints

  • Direct secure messaging: diana.burns.1@30520.direct.athenahealth.com
  • Direct secure messaging: dianaburns@tdh.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1295702900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 NORTHBEND RD",
            "city": "MC LEANSVILLE",
            "state": "NC",
            "postal_code": "273019794",
            "telephone_number": "336-404-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 NORTHBEND RD",
            "city": "MC LEANSVILLE",
            "state": "NC",
            "postal_code": "273019794",
            "telephone_number": "336-404-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "DIANA",
        "middle_name": "SUE",
        "credential": "LCSW, LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1301",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLeansville, NC

Sources for this page

Verify at the official NPI Registry.