Active NPI
Emilea Burgh, LCSW
- Social Worker
- Grayson, KY
National Provider Identifier
1154005296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 258018
- Practice address
- 211 S Carol Malone Blvd
Grayson, KY 41143-1355 - Phone
- (606) 713-0379
- Fax
- (606) 547-4329
- NPI assigned
- Jun 9, 2023
- Last updated
- Jun 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 258018 | KY | Primary |
Addresses
Primary practice location
211 S Carol Malone Blvd
Grayson, KY 41143-1355
Mailing address
2901 Pigeon Roost Rd
Rush, KY 41168-8132
Phone (606) 928-6648
Other practice location 1
2901 Pigeon Roost Rd
Rush, KY 41168-8132
Phone (606) 928-6648
Other practice location 2
835 Central Ave
Ashland, KY 41101-7423
Phone (606) 547-4400
Other practice location 3
10 Town Center Blvd Ste 2
Crestview Hills, KY 41017-2416
Phone (859) 360-6120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258018 | KY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1154005296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 PIGEON ROOST RD",
"city": "RUSH",
"state": "KY",
"postal_code": "411688132",
"telephone_number": "606-928-6648",
"fax_number": "606-928-1056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 S CAROL MALONE BLVD",
"city": "GRAYSON",
"state": "KY",
"postal_code": "411431355",
"telephone_number": "606-713-0379",
"fax_number": "606-547-4329"
}
],
"practiceLocations": [
{
"address_1": "2901 Pigeon Roost Rd",
"address_purpose": "LOCATION",
"city": "Rush",
"state": "KY",
"postal_code": "411688132",
"country_code": "US",
"telephone_number": "606-928-6648",
"fax_number": "606-928-1056",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "835 Central Ave",
"address_purpose": "LOCATION",
"city": "Ashland",
"state": "KY",
"postal_code": "411017423",
"country_code": "US",
"telephone_number": "606-547-4400",
"fax_number": "606-547-4180",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 Town Center Blvd Ste 2",
"address_purpose": "LOCATION",
"city": "Crestview Hills",
"state": "KY",
"postal_code": "410172416",
"country_code": "US",
"telephone_number": "859-360-6120",
"fax_number": "606-547-4253",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURGH",
"first_name": "EMILEA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-09",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KY",
"license": "258018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grayson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.