Jessica Brooke Burgess, LMSW
Individual provider Active NPI Clinical Social Worker · Rockford, MI
NPI 1104115104 · NPPES record last updated Nov 28, 2023
Key facts
- NPI
- 1104115104
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801088186 (MI)
- Practice address
- 7475 Ceilcrest LN NE
Rockford, MI 49341-8824 - Phone
- (616) 299-5847
- NPI assigned
- Mar 31, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jessica Burgess Counseling LLC | Clinical | Current |
Accepting new patients |
| D a Blodgett-St Johns | Clinical | Past |
Accepting new patients |
| D.a. Blodgett - St. John'S | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801088186 | MI | Yes |
Addresses
Primary practice location
7475 Ceilcrest LN NE
Rockford, MI 49341-8824
Mailing address
805 Leonard St NE
Grand Rapids, MI 49503-1138
Phone (616) 451-2021
Other names
- Jessica Brooke Ritter
Other providers in Rockford, MI
- Crystal Brower
- Jessica Bryant
- Dawn Bultman
- Nathan Bultman
- Brian Bundy
- Kevin M Burkhart
- Brandon Ryan Burns
- Sandra Burns
- Amy Kristine Byerley
- Byrne Chiropractic LLC
All providers in Rockford, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.