Virginia Burgess, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15798 Issued in FL

Practice address

2525 Pasadena Ave S Ste M
South Pasadena, FL 33707-4556

Phone

(727) 254-9183

NPI assigned

Nov 22, 2006

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ultima Rehab-FL LLC

  • Geriatric Physical Therapist
  • North Fort Myers, FL
  • NPI 1053970194
  NPD

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548547200000",
    "number": "1366517567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 FLOURNOY CIR E UNIT 5410",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337641425",
            "telephone_number": "860-917-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 PASADENA AVE S STE M",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337074556",
            "telephone_number": "727-254-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "VIRGINIA",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2019-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "15798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fritz Daniel Brink, D.O.
• Hannah Brown
• Heather Bryan, PTA
• Michele Constance Bryant, OTR/L
• Tyler Jay Burdsall, PT, DPT
• Kevin Jonathan Caceres, MD
• Rachel Calcaterra, DPT
• Ashley Carevic, APRN
• Ehren Carine, D.O.
• Tim Paul Carlson, MD

• Clinical Social Worker in South Pasadena, FL
• Providers in South Pasadena, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2019; 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.