Individual provider Active NPI

Larren Marica Burgess

  • Clinical Social Worker
  • Lexington Park, MD
National Provider Identifier
1366230112
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27694 Issued in MD
Practice address
22776 Three Notch Rd Ste 210
Lexington Park, MD 20653-3370
Phone
(301) 866-6333
NPI assigned
Apr 30, 2025
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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 27694 MD Primary

Addresses

Primary practice location

22776 Three Notch Rd Ste 210
Lexington Park, MD 20653-3370

Mailing address

47403 Topaz PL
Lexington Park, MD 20653-2443
Phone (301) 433-5987

Other practice location 1

9701 Apollo Dr
Upper Marlboro, MD 20774-4783
Phone (240) 487-6934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
27694MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Peace Therapeutic Services, LLC CurrentSince Sep 28, 2025 Accepting new patients

Locations

22776 Three Notch Rd
Ste 210
Lexington Park, MD 20653
Phone (301) 866-6333

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1366230112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47403 TOPAZ PL",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206532443",
            "telephone_number": "301-433-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22776 THREE NOTCH RD STE 210",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206533370",
            "telephone_number": "301-866-6333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9701 Apollo Dr",
            "address_purpose": "LOCATION",
            "city": "Upper Marlboro",
            "state": "MD",
            "postal_code": "207744783",
            "country_code": "US",
            "telephone_number": "240-487-6934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "LARREN",
        "middle_name": "MARICA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "27694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.