Active NPI
Susan Burns, LISW
- Clinical Social Worker
- Hamilton, OH
National Provider Identifier
1558375394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10001960
- Practice address
- 501 Park Avenue
Hamilton, OH 45013 - Phone
- (513) 867-0676
- Fax
- (513) 867-0762
- NPI assigned
- Jul 28, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 10001960 | OH | Primary |
Addresses
Primary practice location
501 Park Avenue
Hamilton, OH 45013
Mailing address
3200 Burnet Avenue
1 Ridgeway
Cincinnati, OH 45229
Phone (513) 585-9009
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10001960 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Behavioral Health Inc. | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Fort Thomas, KY
- NPI 1710691795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558375394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 BURNET AVENUE",
"address_2": "1 RIDGEWAY",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45229",
"telephone_number": "513-585-9009",
"fax_number": "513-585-9373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 PARK AVENUE",
"city": "HAMILTON",
"state": "OH",
"postal_code": "45013",
"telephone_number": "513-867-0676",
"fax_number": "513-867-0762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "SUSAN",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "10001960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamilton, OH
- Nicolas Alan Burnett, B.S., CDCA
- Wendy Burnette, RN:258456-COA1
- Ashley Nicole Burns, LPN
- Christina Nicole Burns, QMHS
- Emily Anne Burns, LSW, LCDCIII
- Roger Shane Burton
- Nicolette Paige Bush
- Butler Behavioral Health Services, Inc.
- Butler Behavioral Health Services, Inc.
- Butler Behavioral Health Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.