Individual provider Active NPI

Rebecca D Burton, SOCIAL WORKER (LCSW)

  • Clinical Social Worker
  • Corpus Christi, TX
National Provider Identifier
1396053567
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104099 Issued in TX
Practice address
5350 S Staples St Ste 333D
Corpus Christi, TX 78411-4690
Phone
(361) 256-7205
NPI assigned
Sep 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 9409 TN
Clinical Social Worker 1041C0700X 10314 LA
Social Worker 104100000X 10314 LA
Clinical Social Worker 1041C0700X 104099 TX Primary

Addresses

Primary practice location

5350 S Staples St Ste 333D
Corpus Christi, TX 78411-4690

Mailing address

5350 S Staples St Ste 333D
Corpus Christi, TX 78411-4690
Phone (361) 256-7205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221130003281 TX Practitioner - Clinical Social Worker 7113395807 Reassigns benefits to 1 organization
I20241123000373 LA Practitioner - Clinical Social Worker 7113395807 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9409TNMDSocial Worker
104099TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Oct 15, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1 Galleria Blvd
Ste 1900
Metairie, LA 70001
Phone (504) 332-8698

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 1

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": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1396053567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 S STAPLES ST STE 333D",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114690",
            "telephone_number": "361-256-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 S STAPLES ST STE 333D",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114690",
            "telephone_number": "361-256-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "REBECCA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "SOCIAL WORKER (LCSW)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-21",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "9409",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "10314",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "10314",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "104099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.