Jean D Burgess, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

06228 Issued in MD

Practice address

19606 Coastal Hwy
Suite 202
Rehoboth Beach, DE 19971-8596

Phone

(301) 509-5922

Fax

(302) 212-2372

NPI assigned

Jun 30, 2005

Last updated

Sep 19, 2016By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Insight Health and Wellness, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rehoboth Beach, DE
  • NPI 1538845359
  NPD (past)
• Lewes Counseling LLC

  • Community/Behavioral Health Agency
  • Flagler Beach, FL
  • NPI 1932502309
  NPD (past)

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1326045824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19606 COASTAL HWY",
            "address_2": "SUITE 202",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199718596",
            "telephone_number": "301-509-5922",
            "fax_number": "302-212-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19606 COASTAL HWY",
            "address_2": "SUITE 202",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199718596",
            "telephone_number": "301-509-5922",
            "fax_number": "302-212-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "JEAN",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "06228",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001029",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey J Boxer, MD
• Barbara Boyte
• Brandywine Assisted Living at Seaside Pointe
• Rebecca Briddell, PMHNP-BC
• Jahne Bristow
• Erik B Camac, DC
• Tadd Campbell, PH.D., PSYD
• Cape Chiropractic LLC
• Deyadira Carrillo
• Kathleen Anne Casey, LCSW

• Clinical Social Worker in Rehoboth Beach, DE
• Providers in Rehoboth Beach, DE by specialty
• Clinical Social Worker in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.