Alyssa Rose Burgett, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

101965 Issued in CA

Practice address

1302 The Alameda Apt 101
San Jose, CA 95126-5010

Phone

(419) 681-1344

NPI assigned

Feb 16, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Alyssa Warner Former name

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.

• Directions for Youth & Families, Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Columbus, OH
  • NPI 1811949209
  NPD (past)
• Directions for Youth & Families, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbus, OH
  • NPI 1518224799
  NPD (past)

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1124528179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 THE ALAMEDA APT 101",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951265010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 THE ALAMEDA APT 101",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951265010",
            "telephone_number": "419-681-1344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Indianola Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432012118",
            "country_code": "US",
            "telephone_number": "419-681-1344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGETT",
        "first_name": "ALYSSA",
        "middle_name": "ROSE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-16",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "101965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "WARNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brittany Vasae Lynn Burdick, MD
• Adarsh Burela
• Troy Burg
• Frank C. Burger, O.D.
• Nicole Burgess
• Tiffany Joy Burk, MFTI
• Darlene Ann Burke, ED.D.
• John Michael Burke, PH.D.
• Jennifer Elise Burkett, LMFT
• Cathlin Burkey

• Clinical Social Worker in San Jose, CA
• Providers in San Jose, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.