Provider Demographics
NPI:1730449984
Name:BURNS, LOUIS A (MSW, CASAC)
Entity type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:A
Last Name:BURNS
Suffix:
Gender:M
Credentials:MSW, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5220 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-1812
Mailing Address - Country:US
Mailing Address - Phone:718-360-8146
Mailing Address - Fax:718-439-3965
Practice Address - Street 1:5220 4TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-1812
Practice Address - Country:US
Practice Address - Phone:718-360-8146
Practice Address - Fax:718-439-3965
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-22
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY12128101YA0400X
NY104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker