Lya J Burgess, MSW/LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

200 North St
Suite 101
New Martinsville, WV 26155-1784

Phone

(304) 771-8837

NPI assigned

Jun 19, 2008

Last updated

May 7, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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 WV

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

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Hope Telehealth CorporationGroup PAC ID 9133509730, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• New Hope Telehealth Corporation

  • Psychiatry Physician
  • Williamstown, WV
  • NPI 1730854407
  Medicare reassignment Care Compare group NPD
• Mario R Schwabe & Associates PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Parkersburg, WV
  • NPI 1801974233
  NPD (past)

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1326209644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NORTH ST",
            "address_2": "SUITE 101",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261551784",
            "telephone_number": "304-771-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NORTH ST",
            "address_2": "SUITE 101",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261551784",
            "telephone_number": "304-771-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "LYA",
        "middle_name": "J",
        "credential": "MSW/LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C Thomas Brodegard
• Lydia Rachele Brodegard
• Kylie Brooks, PT, DPT
• Heidi Marie Brown
• Shannon Marie Brown
• Gary Leonard Burian, OTA/L
• Bonnie Ruth Byard
• Maricel Gonzales Cabral
• Olivia Calderon Cabral
• Debra K Campbell

• Clinical Social Worker in New Martinsville, WV
• Providers in New Martinsville, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.

Verify at the official NPI Registry.