Antoinette Marie Burch, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C020259 Issued in NC

Practice address

141 N Main St
Fuquay Varina, NC 27526-1933

Phone

(919) 247-8205

NPI assigned

Sep 12, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Antoinette Burch Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786752000000",
    "number": "1316724461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 PLEASANT LN",
            "city": "WILLOW SPRING",
            "state": "NC",
            "postal_code": "275928403",
            "telephone_number": "919-247-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 N MAIN ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275261933",
            "telephone_number": "919-247-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCH",
        "first_name": "ANTOINETTE",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C020259",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "29391",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTOINETTE",
            "last_name": "BURCH",
            "prefix": "MRS.",
            "credential": "ANTOINETTE HARMON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Olivia Marie Bruff-Younts, PA
• Megan Bryan
• Bryden McCormick DDS
• Christina Marie Buchanan, M.S., CCC-SLP
• Andrea Rae Bueno-Acosta, MA, LCMHCA, NCC
• Alena Caroline Butts
• Jasmine Byrd
• Cadence Neuropsychological Services PLLC
• McKenna Cagle
• Kayla Caine, LCMHC

• All providers in Fuquay Varina, NC
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2026; 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.