Phyllis A Burgin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904010075 Issued in VA

Practice address

24 Orchard LN
Stafford, VA 22556-6328

Phone

(571) 251-7477

NPI assigned

Jun 16, 2019

Last updated

Jul 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clarity Clinical Counseling Services

  dba Clarity Clinical Counseling

  • Clinical Social Worker
  • Stafford, VA
  • NPI 1427826734
  NPD Authorized official
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  VA

  Medicare reassignment
• Soulstice Clinical Counseling & Professional Development

  • Clinical Social Worker
  • Stafford, VA
  • NPI 1235788779
  Authorized official Same address or phone

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

{
    "created_epoch": "1560643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1295395994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 ONVILLE RD STE 201-6",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225563831",
            "telephone_number": "540-300-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 ORCHARD LN",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225566328",
            "telephone_number": "571-251-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGIN",
        "first_name": "PHYLLIS",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-16",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nguyen Thai Bui, DDS
• Holley Buie
• Kimberly Brooke Bullock
• Alimamy Sallu Bundu
• Dawn Thompson Burgess, M.S.,CCC-SLP
• Julissa E Burgos, DMD
• Brenna Burke
• Briana Lashun Burkes, PHARMD
• Angie Marie Burt, N.P.
• Joanie Rennae Butcher

• Clinical Social Worker in Stafford, VA
• Providers in Stafford, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.