Active NPI
Vicky Marie Burgh-Harris, LCSW
- Social Worker
- Poughkeepsie, NY
National Provider Identifier
1750373510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 076375-1
- Practice address
- 202 Hooker Avenue
Therapeutic Counseling Services
Poughkeepsie, NY 12603 - Phone
- (845) 337-7046
- Fax
- (845) 214-0629
- NPI assigned
- Aug 18, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 068045-1 | NY | |
| Social Worker | 104100000X | 076375-1 | NY | Primary |
Addresses
Primary practice location
202 Hooker Avenue
Therapeutic Counseling Services
Poughkeepsie, NY 12603
Mailing address
202 Hooker Avenue
Poughkeepsie, NY 12603
Phone (845) 706-5457
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050429000047 | Other | NY | FIDELIS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068045-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Services, LLC | Clinical | Past | Accepting new patients |
| Federation Employment and Guidance Service, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Developmental Disabilities Clinic/Center
- New York, NY
- NPI 1942243084
-
- Clinical Social Worker
- Magnolia, DE
- NPI 1881978880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261353600000",
"number": "1750373510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 HOOKER AVENUE",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "12603",
"telephone_number": "845-706-5457",
"fax_number": "845-214-0629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 HOOKER AVENUE",
"address_2": "THERAPEUTIC COUNSELING SERVICES",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "12603",
"telephone_number": "845-337-7046",
"fax_number": "845-214-0629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGH-HARRIS",
"first_name": "VICKY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-18",
"last_updated": "2009-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "068045-1",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "076375-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "050429000047",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.