Cameron Geoffrey Burleson, MSW, LCSW
Individual provider Active NPI Clinical Social Worker · Mebane, NC
NPI 1821147950 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1821147950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- COO4883 (NC)
- Practice address
- 1031 Rowland LN
Mebane, NC 27302-9589 - Phone
- (919) 304-2882
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240202002436 | NC | Practitioner - Clinical Social Worker | 8628133477 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COO4883 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of North Carolina at Chapel Hill | Current |
Accepting new patients |
Locations
101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485
1101 Weaver Dairy Rd
Ste 103
Chapel Hill, NC 27514
Phone (919) 966-6097
5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | COO4883 | NC | Yes |
Addresses
Primary practice location
1031 Rowland LN
Mebane, NC 27302-9589
Mailing address
1031 Rowland LN
Mebane, NC 27302-9589
Phone (919) 304-2882
Other providers in Mebane, NC
- Ivy Pauline Brisbin
- Avery Brown
- Bruce D Browner
- Garrett Adam Buchanan
- Kyle Patrick Burks
- Burlington Care Center
- Burlington Urological Associates of Mebane
- Charles K. Burnett
- Butler Counseling & Consulting
- Judy H. Butler
All providers in Mebane, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.