Renee Burgard, LCSW, MS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

08952 Issued in CA

Practice address

300 Plaza S
Los Altos, CA 94022-3609

Phone

(650) 269-4807

NPI assigned

Apr 3, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1679102438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 KIPLING ST APT 1",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012854",
            "telephone_number": "650-269-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PLAZA S",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940223609",
            "telephone_number": "650-269-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGARD",
        "first_name": "RENEE",
        "credential": "LCSW, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "08952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.mindfulnesshealth-psychotherapy.com",
            "affiliation": "N",
            "endpointDescription": "Business Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "300 Plaza S",
            "city": "Los Altos",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940223609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah M Brown, RN
• Bryan S. Lee MD Inc.
• William Maxwell Buchholz, MD
• Milagros Tinio Buenviaje, M.D.
• Debora Lynn Burgard, PH.D.
• Ruth Burgin
• Rachel Burgoyne, LMFT
• Michael Burks
• Catherine Jane Burns, L. AC.
• Louise Proper Burton, MFT

• Clinical Social Worker in Los Altos, CA
• Providers in Los Altos, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.