Organization Active NPI

Rebecca Burgman LLC

  • Clinical Social Worker
  • Georgetown, TX
National Provider Identifier
1134736382
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
REBECCA BURGMAN LLC
Practice address
903 Forest St
Georgetown, TX 78626-5523
Phone
(512) 930-8014
Fax
(512) 864-7934
NPI assigned
Sep 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Authorized official

Name
Rebecca Burgman
Title
Owner
Phone
(512) 930-8014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

903 Forest St
Georgetown, TX 78626-5523

Mailing address

903 Forest St
Georgetown, TX 78626-5523
Phone (512) 930-8014

National Provider Directory

National Provider Directory

Locations

903 Forest St
Georgetown, TX 78626
Phone (512) 930-0884

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1134736382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 FOREST ST",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786265523",
            "telephone_number": "512-930-8014",
            "fax_number": "512-863-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 FOREST ST",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786265523",
            "telephone_number": "512-930-8014",
            "fax_number": "512-864-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA BURGMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "BURGMAN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-930-8014"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.