NPIMap

Organization Active NPI

Rebecca Burgman

  • Clinical Social Worker
  • Georgetown, TX
National Provider Identifier
1750993077
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
REBECCA BURGMAN
Practice address
903 Forest St
Georgetown, TX 78626-5523
Phone
(512) 930-8014
Fax
(512) 863-7934
NPI assigned
Aug 18, 2020
Last updated
Oct 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Authorized official

Name
Ms. Rebecca J Burgman, LCSWNPI 1447355979
Title
Owner
Phone
(512) 930-8014

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

903 Forest St
Georgetown, TX 78626-5523

Mailing address

903 Forest St
Georgetown, TX 78626-5523
Phone (512) 930-8014

National Provider Directory

National Provider Directory

Locations

903 Forest St
Georgetown, TX 78626
Phone (512) 930-0884

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1750993077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 FOREST ST",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786265523",
            "telephone_number": "512-930-8014",
            "fax_number": "512-864-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 FOREST ST",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786265523",
            "telephone_number": "512-930-8014",
            "fax_number": "512-863-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA BURGMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "BURGMAN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-930-8014",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

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