Individual provider Active NPI

Brian Duane Burden, LICENSED SOCIAL WORK

  • Social Worker
  • Connellsville, PA
National Provider Identifier
1982952263
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW130829 Issued in PA
Practice address
238 S 12TH St
Connellsville, PA 15425-2928
Phone
(724) 366-1955
Fax
(724) 628-7588
NPI assigned
Aug 17, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Social Worker 104100000X SW130829 PA Primary
Social Worker 104100000X 0903001982 VA

Addresses

Primary practice location

238 S 12TH St
Connellsville, PA 15425-2928

Mailing address

238 S 12TH St
Connellsville, PA 15425-2928
Phone (724) 366-1955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20211102001089 PA Practitioner - Clinical Social Worker 6709274228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western PA Behavioral Health ResourcesGroup PAC ID 4183772858, 21 clinicians

Practice addresses (Care Compare)

111 Roberts Rd
Suite 150
Grindstone, PA 15442-2104
Phone (724) 785-4346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW130829PAMDSocial Worker
0903001982VAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Western PA Behavioral Health Resources LLC CurrentSince Nov 1, 2021 Accepting new patients

Locations

111 Roberts Rd
Ste 150
Grindstone, PA 15442
Phone (724) 785-4346

707 Ligonier St
Latrobe, PA 15650
Phone (724) 537-9515

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.

NPI Registry JSON

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

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381190400000",
    "number": "1982952263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 S 12TH ST",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154252928",
            "telephone_number": "724-366-1955",
            "fax_number": "724-628-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 S 12TH ST",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154252928",
            "telephone_number": "724-366-1955",
            "fax_number": "724-628-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDEN",
        "first_name": "BRIAN",
        "middle_name": "DUANE",
        "credential": "LICENSED SOCIAL WORK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-17",
        "last_updated": "2013-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW130829",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0903001982",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Connellsville, PA

Sources for this page

Verify at the official NPI Registry.