Active NPI
Joshua D. Burgess LCSW
- Clinical Social Worker
- Clinton, NY
National Provider Identifier
1245855972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- JOSHUA D. BURGESS LCSW
- Practice address
- 63 Norton Ave
Clinton, NY 13323-1321 - Phone
- (315) 795-4321
- NPI assigned
- Jun 9, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michele Redmond
- Title
- Billing Manager
- Phone
- (315) 207-4222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
63 Norton Ave
Clinton, NY 13323-1321
Mailing address
63 Norton Ave
Clinton, NY 13323-1321
Phone (315) 424-3415
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1591660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726704000000",
"number": "1245855972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 NORTON AVE",
"city": "CLINTON",
"state": "NY",
"postal_code": "133231321",
"telephone_number": "315-424-3415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 NORTON AVE",
"city": "CLINTON",
"state": "NY",
"postal_code": "133231321",
"telephone_number": "315-795-4321"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSHUA D. BURGESS LCSW",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-09",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A",
"authorized_official_last_name": "REDMOND",
"authorized_official_first_name": "MICHELE",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "315-207-4222"
},
"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 Clinton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.