Aisha Burgess, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW8850 Issued in TN

Practice address

5800 NW 39TH Ave Ste 102
Gainesville, FL 32606-6972

Phone

(352) 415-0203

Fax

(352) 375-3002

NPI assigned

May 13, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1225485758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 NW 39TH AVE STE 102",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066972",
            "telephone_number": "352-415-0203",
            "fax_number": "352-375-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 NW 39TH AVE STE 102",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066972",
            "telephone_number": "352-415-0203",
            "fax_number": "352-375-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "AISHA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "LMSW8850",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "ISW9472",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNESSEE DEPARTMENT OF HEALTH",
            "identifier": "LMSW8850",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "ISW9472",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marissa Erin Burech
• Mary Ann Burg, LCSW
• Nicole Burg
• Michelle Kim Burgeson, BCBA
• Dawn M Burgess-Krop, ED.S.
• Jennifer Burgess, MA, LMHC
• Johna Burgess
• Luis E Burgos, MD
• Jeffrey Paul Burk, PH.D.
• Kara Burk

• Social Worker in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.