MEDICARE: MR. DAVID ASHLEY BURTON LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	31276	MN

General Provider Information

NPI Number	:	1104041011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID ASHLEY BURTON LCSW

Provider Business Mailing Address
First Line	:	2920 ALDRICH AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55408-4273
Country	:	US
Telephone Number	:	412-626-2003
Fax Number	:

Provider Business Practice Location Address
First Line	:	2920 ALDRICH AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55408-4273
Country	:	US
Telephone Number	:	412-626-2003
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	03/16/2026

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