Individual provider Active NPI

David M. Burns, LCSW

  • Clinical Social Worker
  • Hudson, NY
National Provider Identifier
1457774994
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
079277-1 Issued in NY
Practice address
713 Union St
Hudson, NY 12534-3001
Phone
(518) 828-4619
Fax
(518) 828-1196
NPI assigned
Feb 3, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 079277-1 NY Primary

Addresses

Primary practice location

713 Union St
Hudson, NY 12534-3001

Mailing address

713 Union St
Hudson, NY 12534-3001
Phone (518) 828-4619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20140604001801 NY Practitioner - Clinical Social Worker 1557585965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Behavioral Health Ipa, PLLCGroup PAC ID 5294703005, 23 clinicians

Practice addresses (Care Compare)

10 McKown Rd
Suite 102
Albany, NY 12203-3496
Phone (818) 689-0244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
079277-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Behavioral Health Ipa PLLC CurrentSince Apr 1, 2016 Accepting new patients
Joseph Ippolito Clinical Past Accepting new patients

Locations

10 McKown Rd
Ste 102
Albany, NY 12203
Phone (518) 689-0244

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": "1391385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1457774994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 UNION ST",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125343001",
            "telephone_number": "518-828-4619",
            "fax_number": "518-828-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 UNION ST",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125343001",
            "telephone_number": "518-828-4619",
            "fax_number": "518-828-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "DAVID",
        "middle_name": "M.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-03",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079277-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, NY

Sources for this page

Verify at the official NPI Registry.