Individual provider Active NPI

Joann Marie Burton, LCSW

  • Clinical Social Worker
  • Arlington, VA
National Provider Identifier
1619414075
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904009564 Issued in VA
Practice address
2120 Washington Blvd
3Rd FL
Arlington, VA 22204-5718
Phone
(703) 228-5215
Fax
(703) 228-5234
NPI assigned
Jan 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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 0904009564 VA Primary

Addresses

Primary practice location

2120 Washington Blvd
3Rd FL
Arlington, VA 22204-5718

Mailing address

2100 Washington Blvd
FL 4: FMB
Arlington, VA 22204-5703
Phone (703) 228-1698

Other names 1

  • Joann Marie O'Neill Former name

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

LicenseStateTypeSpecialty
0904009564VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1619414075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WASHINGTON BLVD",
            "address_2": "FL 4: FMB",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222045703",
            "telephone_number": "703-228-1698",
            "fax_number": "703-228-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 WASHINGTON BLVD",
            "address_2": "3RD FL",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222045718",
            "telephone_number": "703-228-5215",
            "fax_number": "703-228-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "JOANN",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANN",
            "last_name": "O'NEILL",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.