Active NPI
Michele E Burgner, MSSW, LCSW
- Clinical Social Worker
- Nashville, TN
National Provider Identifier
1295729127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4344
- Practice address
- 2200 21St Ave S
Suite 229
Nashville, TN 37212-4942 - Phone
- (615) 298-3010
- Fax
- (615) 298-3011
- NPI assigned
- Sep 7, 2005
- Reactivated
- Apr 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4344 | TN | Primary |
Addresses
Primary practice location
2200 21St Ave S
Suite 229
Nashville, TN 37212-4942
Mailing address
2200 21St Ave S
Suite 229
Nashville, TN 37212-4942
Phone (615) 298-3010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080221000225 | TN | Practitioner - Clinical Social Worker | 5496839045 | Practice locations: Nashville, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2200 21St Ave S
Suite 229
Nashville, TN 37212-4929
Phone (615) 218-0564
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295729127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 21ST AVE S",
"address_2": "SUITE 229",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372124942",
"telephone_number": "615-298-3010",
"fax_number": "615-298-3011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 21ST AVE S",
"address_2": "SUITE 229",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372124942",
"telephone_number": "615-298-3010",
"fax_number": "615-298-3011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGNER",
"first_name": "MICHELE",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "MSSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-07",
"last_updated": "2007-07-08",
"deactivation_date": "2006-03-24",
"reactivation_date": "2006-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "4344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.