Active NPI
Lynn Paxton Burrough, MSW, LCSW
- Clinical Social Worker
- Waynesville, NC
National Provider Identifier
1376579953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C006318
- Practice address
- 563 North Main Street
Waynesville, NC 28786 - Phone
- (828) 627-8744
- Fax
- (828) 627-8744
- NPI assigned
- Jun 24, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | PR015440 1 | NY | |
| Clinical Social Worker | 1041C0700X | C006318 | NC | Primary |
Addresses
Primary practice location
563 North Main Street
Waynesville, NC 28786
Mailing address
P.O. Box 639
Lake Junaluska, NC 28745-0639
Phone (828) 627-8744
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004622005 | Other | NY | AETNA |
| P982279 | Other | NY | OXFORD HEALTH PLANS |
| 6257216 | Other | NY | UNITED HEALTH CARE |
| 117686 | Other | NY | TRICARE |
| 91443000 | Other | NY | MAGELLAN BEHAVIORAL HEALT |
| 0062148003 | Other | NY | GHI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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 |
|---|---|---|---|---|
| I20090603000104 | NC | Practitioner - Clinical Social Worker | 6305996968 | Practice locations: Waynesville, NC |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
563 N Main St
Waynesville, NC 28786-3817
Phone (828) 627-8744
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C006318 | NC | MD | Clinical Social Worker |
| PR015440 1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239753600000",
"number": "1376579953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 639",
"city": "LAKE JUNALUSKA",
"state": "NC",
"postal_code": "287450639",
"telephone_number": "828-627-8744",
"fax_number": "828-627-8744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "563 NORTH MAIN STREET",
"city": "WAYNESVILLE",
"state": "NC",
"postal_code": "28786",
"telephone_number": "828-627-8744",
"fax_number": "828-627-8744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURROUGH",
"first_name": "LYNN",
"middle_name": "PAXTON",
"name_prefix": "Ms.",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-24",
"last_updated": "2009-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "PR015440 1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C006318",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004622005",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "P982279",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "6257216",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "117686",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL HEALT",
"identifier": "91443000",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0062148003",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waynesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; 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.