Active NPI
Susan E Burkhart, MSW, LISW-S
- Social Worker
- Delaware, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- I 1000000
- Practice address
- 824 Bowtown Rd
Delaware, OH 43015-9661 - Phone
- (740) 369-7688
- Fax
- (740) 363-6415
- NPI assigned
- Aug 26, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | I 1000000 | OH | Primary |
Addresses
Primary practice location
824 Bowtown Rd
Delaware, OH 43015-9661
Mailing address
824 Bowtown Rd
Delaware, OH 43015-9661
Phone (740) 369-7688
Other names 1
- Susan E Beck
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 |
|---|---|---|---|---|
| I20131007000340 | OH | Practitioner - Clinical Social Worker | 0648404640 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Optum Behavioral Care of Ohio IncEmily Program P C
Practice addresses (Care Compare)
620 E Broad St
Suite 301
Columbus, OH 43215-4037
Phone (614) 674-6076
8001 Ravines Edge CT
Suite 201
Columbus, OH 43235-5423
Phone (888) 364-5977
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I 1000000 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of Ohio, Inc | Current | Accepting new patients | |
| Emily Program P C | Current | Accepting new patients | |
| Optum Behavioral Care of Ohio, Inc | Current | Accepting new patients | |
| Optum Behavioral Care of Ohio, Inc. | Current | Accepting new patients |
Locations
2265 Como Ave
Saint Paul, MN 55108
3401 Enterprise Pkwy
Ste 250
Beachwood, OH 44122
Phone (216) 765-0500
4624 Sawmill Rd
Columbus, OH 43220
Phone (614) 457-4490
8001 Ravines Edge Ct
Columbus, OH 43235
Phone (614) 896-8270
8001 Ravines Edge Ct
Ste 201
Columbus, OH 43235
Phone (614) 896-8222
620 E Broad St
Ste 301
Columbus, OH 43215
Phone (614) 674-6076
Interoperability endpoints
- susan.burkhart.1@28621.direct.athenahealth.com
Organizations & group practices 11
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Paul, MN
- NPI 1528165065
OH
-
- Clinical Social Worker
- Maryland Heights, MO
- NPI 1528945623
-
- Community/Behavioral Health Agency
- Seattle, WA
- NPI 1154696698
-
- Counseling Psychologist
- Omaha, NE
- NPI 1033985726
-
- Counseling Psychologist
- Murray, UT
- NPI 1942076633
-
- Clinical Social Worker
- West Des Moines, IA
- NPI 1366329468
-
- Clinical Social Worker
- Boise, ID
- NPI 1447137542
-
- Marriage & Family Therapist
- Honolulu, HI
- NPI 1609669902
-
- Clinical Social Worker
- Albuquerque, NM
- NPI 1659250520
-
- Counseling Psychologist
- Columbus, OH
- NPI 1952177644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377475200000",
"number": "1306270442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 BOWTOWN RD",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430159661",
"telephone_number": "740-369-7688",
"fax_number": "740-363-6415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 BOWTOWN RD",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430159661",
"telephone_number": "740-369-7688",
"fax_number": "740-363-6415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKHART",
"first_name": "SUSAN",
"middle_name": "E",
"credential": "MSW, LISW-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-26",
"last_updated": "2013-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "I 1000000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "BECK",
"middle_name": "E",
"credential": "MSW, LISW-S",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Delaware, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.