Brian Jay Burgener, LCSW
Individual provider Active NPI Clinical Social Worker · Burke, VA
NPI 1174780191 · NPPES record last updated May 19, 2008
Key facts
- NPI
- 1174780191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SC 10076 (NJ)
- Practice address
- 9403 Odyssey CT
Burke, VA 22015-1910 - Phone
- (703) 426-0499
- NPI assigned
- May 19, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC 10076 | NJ | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SC 10076 | NJ | Yes |
Addresses
Primary practice location
9403 Odyssey CT
Burke, VA 22015-1910
Mailing address
9403 Odyssey CT
Burke, VA 22015-1910
Phone (703) 426-0499
Other providers in Burke, VA
- Donna Louise Brooks
- Paul Joseph Brosnan
- Robin Denise Brown
- Sara Elizabeth Bunin
- Rachel A Burchard
- Burke Crawford DDS PLLC
- Burke Dental
- Burke Dental, PLLC
- Burke Family Dentistry PC
- Burke Family Eyecare Center, PC
All providers in Burke, VA · Clinical Social Worker in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2008. 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.