Individual provider Active NPI

Adrienne M Burr, LCSW

  • Clinical Social Worker
  • Newport Beach, CA
National Provider Identifier
1386258614
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
95553 Issued in CA
Practice address
20377 SW Acacia St Ste 110
Newport Beach, CA 92660-0781
Phone
(888) 717-9355
Fax
(949) 287-5439
NPI assigned
Sep 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 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 115436 CA
Clinical Social Worker 1041C0700X 95553 CA Primary

Addresses

Primary practice location

20377 SW Acacia St Ste 110
Newport Beach, CA 92660-0781

Mailing address

20377 SW Acacia St Ste 110
Newport Beach, CA 92660-0781
Phone (888) 717-9355

Other practice location 1

401 S Tustin St Bldg D
Orange, CA 92866-2550
Phone (714) 289-3936

Other practice location 2

11825 Major St Ste 207
Culver City, CA 90230-6356
Phone (323) 271-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240204000072 CA Practitioner - Clinical Social Worker 8921441270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sokyahealth Medical Group PCGroup PAC ID 8628463015, 180 clinicians

Practice addresses (Care Compare)

5060 Shoreham PL
Suite 330
San Diego, CA 92122-5976
Phone (858) 427-5060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
115436CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sokyahealth Medical Group PC Clinical CurrentSince Feb 1, 2024 Accepting new patients
Best Me Psychotherapy, Inc. PastSince Jul 23, 2014 Accepting new patients

Locations

2386 Faraday Ave
Ste 110
Carlsbad, CA 92008
Phone (858) 427-5060

5060 Shoreham Pl
Ste 330
San Diego, CA 92122
Phone (619) 866-0998

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: adrienne.burr.p1@direct.sokya.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1386258614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20377 SW ACACIA ST STE 110",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600781",
            "telephone_number": "888-717-9355",
            "fax_number": "949-287-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20377 SW ACACIA ST STE 110",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600781",
            "telephone_number": "888-717-9355",
            "fax_number": "949-287-5439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 S Tustin St Bldg D",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928662550",
            "country_code": "US",
            "telephone_number": "714-289-3936",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11825 Major St Ste 207",
            "address_purpose": "LOCATION",
            "city": "Culver City",
            "state": "CA",
            "postal_code": "902306356",
            "country_code": "US",
            "telephone_number": "323-271-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURR",
        "first_name": "ADRIENNE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "115436",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "95553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.