Sue Elliot Burroughs, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

105658 Issued in NY

Practice address

47 Vaughn Rd
Hudson Falls, NY 12839-1219

Phone

(518) 681-4489

NPI assigned

Dec 17, 2018

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1922579945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SQUASHVILLE RD",
            "city": "GREENFIELD CENTER",
            "state": "NY",
            "postal_code": "128331012",
            "telephone_number": "518-791-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 VAUGHN RD",
            "city": "HUDSON FALLS",
            "state": "NY",
            "postal_code": "128391219",
            "telephone_number": "518-681-4489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 Stage Rd",
            "address_purpose": "LOCATION",
            "city": "Ballston Lake",
            "state": "NY",
            "postal_code": "120192607",
            "country_code": "US",
            "telephone_number": "518-399-9141 x85513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURROUGHS",
        "first_name": "SUE",
        "middle_name": "ELLIOT",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "105658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Hudson Falls, NY
• Providers in Hudson Falls, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.