Individual provider Active NPI

Wanita Jane Burton, LISW

  • Clinical Social Worker
  • Lancaster, OH
National Provider Identifier
1689792665
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0004084 Issued in OH
Practice address
1611 Tiki Lane
Lancaster, OH 43130
Phone
(740) 687-0900
Fax
(740) 689-2725
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 I0004084 OH Primary

Addresses

Primary practice location

1611 Tiki Lane
Lancaster, OH 43130

Mailing address

1611 Tiki Lane
Lancaster, OH 43130
Phone (740) 687-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20130306000222 OH Practitioner - Clinical Social Worker 0244485761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Chicago, Pritzker School of Medicine, 1964
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

117 W Main St
Suite 106
Lancaster, OH 43130-3722
Phone (740) 687-0900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0004084OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
WJ Burton LLC Clinical CurrentSince Oct 1, 2015 Accepting new patients
Customeyes Family Optometry Inc PastSince Apr 10, 2011 Accepting new patients

Locations

117 W Main St
Ste 106
Lancaster, OH 43130
Phone (740) 687-0900

1611 Tiki Ln
Lancaster, OH 43130
Phone (740) 687-0900

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689792665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 TIKI LANE",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "43130",
            "telephone_number": "740-687-0900",
            "fax_number": "740-689-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 TIKI LANE",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "43130",
            "telephone_number": "740-687-0900",
            "fax_number": "740-689-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "WANITA",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0004084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.