Enid Fidelity Burton, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05705400 Issued in NJ

Practice address

401 Greenbrook Rd
North Plainfield, NJ 07063-1701

Phone

(914) 434-0317

NPI assigned

Feb 9, 2010

Last updated

Feb 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Centered Healing and Wellness LLC

  • Clinical Social Worker
  • North Plainfield, NJ
  • NPI 1255962742
  NPD Authorized official
• Healing and Wellness LLC

  • Professional Counselor
  • Plainfield, NJ
  • NPI 1346947520
  Authorized official Same address or phone

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1306178777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 121",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070230121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 GREENBROOK RD",
            "city": "NORTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070631701",
            "telephone_number": "914-434-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "ENID",
        "middle_name": "FIDELITY",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-09",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73083266",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05705400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Borough of North Plainfield
• Brewing Health LLC
• Richard Rory Brodman, M.D.
• Alan Peter Brun, MD
• Jeffrey Brutus
• Samie Cadet, LSW
• Angela Rose Campbell-Osbourne, MA
• Carepoint Family Health & Primary Care LLC
• Caring Touch LLC
• Cedarprag Mental Health LLC

• Clinical Social Worker in North Plainfield, NJ
• Providers in North Plainfield, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.