Stacey Renee Burgess, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3675 Issued in OK

Practice address

3105 E Skelly Dr
Tulsa, OK 74105-6358

Phone

(918) 712-0859

Fax

(918) 388-6456

NPI assigned

Feb 13, 2007

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 OK

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Resolve Behavioral Health ServicesGroup PAC ID 0840702387, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Resolve Behavioral Health Services

  • Clinical Social Worker
  • Tulsa, OK
  • NPI 1497232888
  Medicare reassignment Care Compare group NPD Authorized official
• Red Hawk Behavioral Health LLC

  • Mental Health Counselor
  • Claremore, OK
  • NPI 1164165486
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272240000000",
    "number": "1447392907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 E SKELLY DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056358",
            "telephone_number": "918-712-0859",
            "fax_number": "918-388-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 E SKELLY DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056358",
            "telephone_number": "918-712-0859",
            "fax_number": "918-388-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "STACEY",
        "middle_name": "RENEE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2010-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "3675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen M Burge, LMT
• Elizabeth Burgess
• Nicole Burgess
• Priscilla Burgess
• Ricky E Burgess
• Wendi Lee Burgund Grant
• John Jackson Burk, D.O.
• Robert Burk IV, DO
• Susan Burk, M.S., CCC-SLP
• Whitney Marie Burk, RN, BSN, MSN

• Clinical Social Worker in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; 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.