Enid Fidelity Burton, LCSW
Individual provider Active NPI Clinical Social Worker · North Plainfield, NJ
NPI 1306178777 · NPPES record last updated Feb 3, 2020
Key facts
- NPI
- 1306178777
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC05705400 (NJ)
- Practice address
- 401 Greenbrook Rd
North Plainfield, NJ 07063-1701 - Phone
- (914) 434-0317
- NPI assigned
- Feb 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05705400 | NJ | MD | Clinical Social Worker |
| 73083266 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centered Healing and Wellness LLC | Clinical | Current |
Accepting new patients |
Locations
401 Greenbrook Rd
North Plainfield, NJ 07063
Phone (914) 434-0317
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 73083266 | NY | |
| Clinical Social Worker | 1041C0700X | 44SC05705400 | NJ | Yes |
Addresses
Primary practice location
401 Greenbrook Rd
North Plainfield, NJ 07063-1701
Mailing address
PO Box 121
Fanwood, NJ 07023-0121
Other providers in North Plainfield, NJ
- Borough of North Plainfield
- Brewing Health LLC
- Richard Rory Brodman
- Alan Peter Brun
- Jeffrey Brutus
- Angela Rose Campbell-Osbourne
- Carepoint Family Health & Primary Care LLC
- Caring Touch LLC
- Cedarprag Mental Health LLC
- Centered Healing and Wellness LLC
All providers in North Plainfield, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.