Individual provider Active NPI

Emily N Burch, MSW, LCSW, LISW

  • Clinical Social Worker
  • Ft Mitchell, KY
National Provider Identifier
1972878833
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5059 Issued in KY
Practice address
75 Orphanage Rd
Ft Mitchell, KY 41017-3006
Phone
(859) 331-2040
Fax
(859) 331-7847
NPI assigned
Mar 12, 2012
Last updated
Feb 14, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.1451346 OH
Clinical Social Worker 1041C0700X 5059 KY Primary

Addresses

Primary practice location

75 Orphanage Rd
Ft Mitchell, KY 41017-3006

Mailing address

75 Orphanage Road
Ft. Mitchell, KY 41017-0007
Phone (859) 331-2040

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5059KYMDClinical Social Worker
I.1451346OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Diocesan Catholic Children's Home 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1972878833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 ORPHANAGE ROAD",
            "city": "FT. MITCHELL",
            "state": "KY",
            "postal_code": "410170007",
            "telephone_number": "859-331-2040",
            "fax_number": "859-331-7847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 ORPHANAGE RD",
            "city": "FT MITCHELL",
            "state": "KY",
            "postal_code": "410173006",
            "telephone_number": "859-331-2040",
            "fax_number": "859-331-7847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCH",
        "first_name": "EMILY",
        "middle_name": "N",
        "credential": "MSW, LCSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-12",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1451346",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "5059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Mitchell, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.