Nancy Lynn Burgos, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

076540 Issued in NY

Practice address

9129 120TH St
Richmond Hill, NY 11418-3215

Phone

(347) 683-6628

NPI assigned

Jun 17, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

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, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Queens Psychotherapy LCSW Services P.C.Group PAC ID 9931499639, 14 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 and National Provider Directory roles.

• Nancy Lynn Burgos LCSW PLLC

  • Clinical Social Worker
  • Richmond Hill, NY
  • NPI 1922644772
  Medicare reassignment NPD Authorized official
• Queens Psychotherapy LCSW Services P.C.

  • Clinical Social Worker
  • Rego Park, NY
  • NPI 1366806705
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1528229150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9129 120TH ST",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114183215",
            "telephone_number": "347-683-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9129 120TH ST",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114183215",
            "telephone_number": "347-683-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOS",
        "first_name": "NANCY",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "072563",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00072563",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00076540",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee Buettel, RPH
• Donna Buggy
• Shafaq Bukhari II
• Princess Nina-Albique Bunagan
• Christian Zipagan Burgos
• Kurt Ezra Anasario Burias
• Camille Joy Burton
• Frances-Marie Estorco Cadiente
• Geirard-Ley Gimongala Calo-Oy
• Carter Casimiro Cambi, PA-C

• Clinical Social Worker in Richmond Hill, NY
• Providers in Richmond Hill, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.