Individual provider Active NPI

Michele E Burgner, MSSW, LCSW

  • Clinical Social Worker
  • Nashville, TN
National Provider Identifier
1295729127
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4344 Issued in TN
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Verify at the official NPI Registry.