Individual provider Active NPI

Cadyn Liam Burnside, LISW, LISW-CP

  • Clinical Social Worker
  • Greenville, SC
National Provider Identifier
1356846877
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14110 Issued in SC
Practice address
10 East Ave
Greenville, SC 29601-2202
Phone
(864) 743-8702
NPI assigned
Mar 27, 2018
Last updated
Dec 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14110 SC Primary
Clinical Social Worker 1041C0700X 088939 IA

Addresses

Primary practice location

10 East Ave
Greenville, SC 29601-2202

Mailing address

205 Fernbrook Cir
Spartanburg, SC 29307-2966
Phone (712) 790-0688

Other practice location 1

111 Avenue O W
Fort Dodge, IA 50501-5634
Phone (515) 573-2193

Other practice location 2

202 Elm St
Lakeside, IA 50588-7737
Phone (712) 790-0688

Other names 1

  • C. Liam Burnside Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240302000371 SC Practitioner - Clinical Social Worker 9537504303 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

195 Burdette St
Spartanburg, SC 29307-1003
Phone (864) 585-0322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
088939IAMDClinical Social Worker
14110SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyes Open Counseling Services, LLC Clinical CurrentSince Dec 10, 2023 Accepting new patients
Upstate Wellness Center LLC CurrentSince Mar 1, 2024 Accepting new patients
Ernest C. Martin, M.D., P.a. CurrentSince Dec 6, 2023 Accepting new patients
The Charles Lea Center Inc. CurrentSince May 16, 2025 Accepting new patients

Locations

102 Buford Ave
Ste A
Anderson, SC 29621
Phone (864) 224-2325

10 East Ave
Greenville, SC 29601
Phone (864) 743-8702

2076 Woodruff Rd
Greenville, SC 29607
Phone (864) 261-9506

195 Burdette St
Spartanburg, SC 29307
Phone (864) 562-2222

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1356846877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 FERNBROOK CIR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293072966",
            "telephone_number": "712-790-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 EAST AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012202",
            "telephone_number": "864-743-8702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Avenue O W",
            "address_purpose": "LOCATION",
            "city": "Fort Dodge",
            "state": "IA",
            "postal_code": "505015634",
            "country_code": "US",
            "telephone_number": "515-573-2193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Elm St",
            "address_purpose": "LOCATION",
            "city": "Lakeside",
            "state": "IA",
            "postal_code": "505887737",
            "country_code": "US",
            "telephone_number": "712-790-0688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNSIDE",
        "first_name": "CADYN",
        "middle_name": "LIAM",
        "credential": "LISW, LISW-CP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "14110",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "088939",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "C.",
            "last_name": "BURNSIDE",
            "middle_name": "LIAM",
            "credential": "LISW, LISW-CP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.