Individual provider Active NPI

Margaret Adams Burge, B.S.,M.A.T., M.S.W

  • Clinical Social Worker
  • Fayetteville, AR
National Provider Identifier
1679843072
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LMSW Issued in AR
Practice address
2207 E Tall Oaks Dr
Fayetteville, AR 72703-6126
Phone
(479) 200-7733
NPI assigned
Jan 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X LMSW AR Primary

Addresses

Primary practice location

2207 E Tall Oaks Dr
Fayetteville, AR 72703-6126

Mailing address

2207 E Tall Oaks Dr
Fayetteville, AR 72703-6126
Phone (479) 200-7733

Other practice location 1

4354 Stockton Dr
North Little Rock, AR 72117-2917
Phone (501) 955-7600

Other names 1

  • Margaret Annegaddy Adams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
LMSWARMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Counseling Associates Inc. PastSince Jan 31, 2011 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1679843072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 E TALL OAKS DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036126",
            "telephone_number": "479-200-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 E TALL OAKS DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036126",
            "telephone_number": "479-200-7733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4354 Stockton Dr",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721172917",
            "country_code": "US",
            "telephone_number": "501-955-7600",
            "fax_number": "501-955-7612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGE",
        "first_name": "MARGARET",
        "middle_name": "ADAMS",
        "credential": "B.S.,M.A.T., M.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-03",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "LMSW",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "ADAMS",
            "middle_name": "ANNEGADDY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.