MEDICARE: ELIZABETH ELAM BURTON

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	32159	MN

General Provider Information

NPI Number	:	1487507018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH ELAM BURTON

Provider Business Mailing Address
First Line	:	225 1ST ST N BLDG 3100B
Second Line	:
City	:	VIRGINIA
State	:	MN
Zip	:	55792-2457
Country	:	US
Telephone Number	:	218-481-7660
Fax Number	:

Provider Business Practice Location Address
First Line	:	225 1ST ST N BLDG 3100B
Second Line	:
City	:	VIRGINIA
State	:	MN
Zip	:	55792-2457
Country	:	US
Telephone Number	:	630-388-9114
Fax Number	:

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

Provider Enumeration Date	:	02/14/2026
Last Update Date	:	02/17/2026

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