Active NPI
Elisabeth Ellen Burnett, LSW, MSW
- Social Worker
- Oxford, OH
National Provider Identifier
1497364905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.1904251
- Practice address
- 3260 Oxford Millville Rd Ste B
Oxford, OH 45056-9430 - Phone
- (513) 454-1111
- NPI assigned
- Jul 30, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.1904251 | OH | Primary |
Addresses
Primary practice location
3260 Oxford Millville Rd Ste B
Oxford, OH 45056-9430
Mailing address
PO Box 837
Hamilton, OH 45012-0837
Phone (513) 454-1460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0412227 | Medicaid | OH |
Other names 1
- Miss Elisabeth Ellen Fulton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.1904251 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Butler County Community Health Consortium, Inc. | Past | Accepting new patients |
Interoperability endpoints
- elisabeth.burnett.p5@direct.myprimaryhealth.nextgenshare.com
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.
-
- Federally Qualified Health Center (FQHC)
- Oxford, OH
- NPI 1780346965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1497364905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 837",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450120837",
"telephone_number": "513-454-1460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3260 OXFORD MILLVILLE RD STE B",
"city": "OXFORD",
"state": "OH",
"postal_code": "450569430",
"telephone_number": "513-454-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETT",
"first_name": "ELISABETH",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "LSW, MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-30",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1904251",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0412227",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELISABETH",
"last_name": "FULTON",
"middle_name": "ELLEN",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oxford, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.