Active NPI
Jan Susan Burleson, LCSW
- Clinical Social Worker
- Cleveland, TN
National Provider Identifier
1295730901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 430
- Practice address
- 2700 Westside Dr NW
Ste 309
Cleveland, TN 37312-3699 - Phone
- (423) 728-2282
- Fax
- (423) 728-2234
- NPI assigned
- Jun 17, 2005
- Sex
- Female
- Sole proprietor
- No
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 | 430 | TN | Primary |
Addresses
Primary practice location
2700 Westside Dr NW
Ste 309
Cleveland, TN 37312-3699
Mailing address
2700 Westside Dr NW
Ste 309
Cleveland, TN 37312-3699
Phone (423) 728-2282
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88108 | Other | TN | BLUE CROSS BLUE SHEILD |
| 3695661 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1295730901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 WESTSIDE DR NW",
"address_2": "STE 309",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373123699",
"telephone_number": "423-728-2282",
"fax_number": "423-728-2234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 WESTSIDE DR NW",
"address_2": "STE 309",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373123699",
"telephone_number": "423-728-2282",
"fax_number": "423-728-2234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURLESON",
"first_name": "JAN",
"middle_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "430",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "88108",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3695661",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.