Organization Active NPI

Joshua D. Burgess LCSW

  • Clinical Social Worker
  • Clinton, NY
National Provider Identifier
1245855972
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Sep 19, 2024

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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.

Verify at the official NPI Registry.