Rachel Burgreen, LCSW-S

Primary specialty

Social WorkerTaxonomy code 104100000X

License

56555 Issued in TX

Practice address

105 Deen Ave
Austin, TX 78753-5401

Phone

(512) 703-0650

NPI assigned

Jul 9, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 10, 2023 through Dec 10, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1477969517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 DEEN AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787535401",
            "telephone_number": "512-703-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 DEEN AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787535401",
            "telephone_number": "512-703-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGREEN",
        "first_name": "RACHEL",
        "credential": "LCSW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "56555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.rachelburgreen.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "105 Deen Ave",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787535401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Meghan Burgess, LCSW
• Sara Burgess
• Stephanie Nicole Burgess, LCSW
• Erica Burgett, FNP
• John D Burgoyne, MD
• Miranda Burgstiner
• Allegra Burke, M.A. CCC-SLP
• Karen R Burke, MA, LPC
• Kate Marie Burke, PT
• Katharine Mary Burke

• Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.