Guy David Burstein, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2931 Issued in OR

Practice address

833 SW 11TH Ave Ste 710
Portland, OR 97205-2121

Phone

(503) 701-1050

NPI assigned

Nov 24, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2022 through Apr 1, 2028

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.

• Burstein-Rose PC

  • Clinical Social Worker
  • Portland, OR
  • NPI 1972917458
  NPD Authorized official

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1619043452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 SW 11TH AVE STE 710",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052121",
            "telephone_number": "503-701-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 SW 11TH AVE STE 710",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052121",
            "telephone_number": "503-701-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURSTEIN",
        "first_name": "GUY",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "2931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Burrows
• Lillian Noel Burrows, DO
• Mary Tweedy Burry, MD
• Rebecca Burry
• Burstein-Rose PC
• Abigail Marie Burt, MA
• Alexander Robert Burt, MD
• Amanda Caroline Burt
• Annie Burt
• Joni L Burt, OTR/L

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.