Victoria Burdeshaw, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW00000067820 Issued in TN

Practice address

960 Fair Oaks Dr
Macon, GA 31204-1406

Phone

(901) 378-7634

NPI assigned

Jul 2, 2014

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

Other names 1

• Victoria Busey 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": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1386050102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2966 SAVANNAH WAY S",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381387549",
            "telephone_number": "901-378-7634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 FAIR OAKS DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312041406",
            "telephone_number": "901-378-7634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDESHAW",
        "first_name": "VICTORIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW00000067820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "BUSEY",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Summer Causey Buchhamer, NP
• Buchhammer Health Systems
• Joshua Buckner, DMD
• Cassie A Bugay, FNP-C
• Christy Bullard, CCC-SLP
• David L Burdett, RT, MR
• Sara Pleasants Burdette, NP
• Edmund T Burdo, PA-AA
• Tonya Ann Burgamy, RN, FNP-C
• Christina Nicole Burgess

• Clinical Social Worker in Macon, GA
• Providers in Macon, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.