Christine Burgess, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

118942 Issued in MA

Practice address

180 Lowe Street
County Center for Health Rehabilitation
Newburyport, MA 01950

Phone

(978) 465-5361

NPI assigned

Sep 23, 2015

Last updated

Sep 23, 2015By the provider in NPPES

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

Enrolled in MA

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, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thrive Counseling LLC

  dba Thriveworks

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  MA

  Medicare reassignment Care Compare group NPD
• Catholic Charitable Bureau of the Archdiocese of Boston, Inc.

  dba Catholic Charities FCGC

  • Community/Behavioral Health Agency
  • South Boston, MA
  • NPI 1003979014
  Medicare reassignment NPD
• Catholic Charitable Bureau of the Archdiocesse of Boston, Inc. Dba

  dba Laboure Center Visiting Nurse Service

  • Home Health Agency
  • South Boston, MA
  • NPI 1093723652
  NPD

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1487023230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 RED OAK ACRES ST",
            "city": "MERRIMAC",
            "state": "MA",
            "postal_code": "018601533",
            "telephone_number": "978-346-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 LOWE STREET",
            "address_2": "COUNTY CENTER FOR HEALTH REHABILITATION",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "01950",
            "telephone_number": "978-465-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "CHRISTINE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "118942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennedy Lyn Brown, DC
• Janine Susan Brunell, BA
• Eric David Bucher, M.D.
• Kelcey Buck, LMFT
• Susanne Buckley, COTA/L
• Barbara Jean Burns-Dore, MSW
• Christopher L Campbell, PA-C
• Jessica Marie Canning, PMHNP
• Nicole Cardoso, PHARM.D.
• Carey Family Group, Inc.

• Clinical Social Worker in Newburyport, MA
• Providers in Newburyport, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.