Virginia Burleson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW024315 Issued in PA

Practice address

1700 Sansom St FL 11
Philadelphia, PA 19103-5245

Phone

(215) 563-7863

NPI assigned

Jun 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Walnut Psychotherapy Center

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1659749497
  NPD

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1083281059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 FAIRMOUNT AVE UNIT 1036",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191232483",
            "telephone_number": "215-870-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SANSOM ST FL 11",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035245",
            "telephone_number": "215-563-7863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLESON",
        "first_name": "VIRGINIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW138012",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW024315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Mark Burkholder, ATC
• Sarah Burki, MD
• Danielle Lee Burkland, MD
• Sophia Rebecca Burlaka
• Audrey Meg Burlando, CRNP
• Tara Burlingame, NP
• Brian Burman, LCSW
• Jacqueline Marie Burnell
• Adairess Burnett, BS
• Molly Elizabeth Burnett, PHARMD

• Clinical Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.