John Eric Burt Jr., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LMSW-16795 Issued in AZ

Practice address

650 E Indian School Rd
Phoenix, AZ 85012-1839

Phone

(240) 538-3182

NPI assigned

Nov 25, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1538705496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 N 44TH ST APT 2084",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850085715",
            "telephone_number": "240-538-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121839",
            "telephone_number": "240-538-3182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1121 N 44th St Apt 2084",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850085715",
            "country_code": "US",
            "telephone_number": "240-538-3182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURT",
        "first_name": "JOHN",
        "middle_name": "ERIC",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-25",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LMSW-16795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susanna Burruel, PHARMD,RPH
• Helen Burson, RN
• Tanya L. Burston
• Brian Burt, PA-C
• Hilary Burt, PA-C
• Nicole Burt, PH.D.
• David Burtless, LPC
• Brijon Burtley
• Burton Eyecare Associates, P.L.L.C. (Hope Eye Center-Phoenix)
• Burton Eyecare Associates, P.L.L.C. (Optical Options)

• Clinical Social Worker in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.