Organization Active NPI

Burnett Clinical Group, a Licensed Clinical Social Worker Corporation

  • Clinical Social Worker
  • Inglewood, CA
National Provider Identifier
1225966542
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BURNETT CLINICAL GROUP, A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Practice address
1626 Centinela Ave Ste 206
Inglewood, CA 90302-6910
Phone
(310) 957-0838
NPI assigned
May 8, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Authorized official

Name
Dr. Dezetta Burnett, DSW, LCSWNPI 1821240342
Title
Chief Executive Officer
Phone
(213) 537-3776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

1626 Centinela Ave Ste 206
Inglewood, CA 90302-6910

Mailing address

4859 W Slauson Ave Unit 291
Los Angeles, CA 90056-1290
Phone (213) 537-3776

National Provider Directory

National Provider Directory

Locations

4859 W Slauson Ave
Unit 291
Los Angeles, CA 90056

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1778198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1225966542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4859 W SLAUSON AVE UNIT 291",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900561290",
            "telephone_number": "213-537-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 CENTINELA AVE STE 206",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903026910",
            "telephone_number": "310-957-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNETT CLINICAL GROUP, A LICENSED CLINICAL SOCIAL WORKER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-08",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "DEZETTA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "213-537-3776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; 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.