Active NPI
Toyia Cynara Burgess, LCSW, CASAC
- Clinical Social Worker
- Fayetteville, NC
National Provider Identifier
1821242736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CO17240
- Practice address
- 351 Wagoner Dr Ste 311
Fayetteville, NC 28303-4700 - Phone
- (910) 510-4799
- NPI assigned
- Nov 5, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CO17240 | NC | Primary |
| Clinical Social Worker | 1041C0700X | 069066-1 | NY | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 19499 | NY |
Addresses
Primary practice location
351 Wagoner Dr Ste 311
Fayetteville, NC 28303-4700
Mailing address
440 Chamberlin Blvd
Raeford, NC 28376-7591
Phone (910) 510-4799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19499 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| CO17240 | NC | MD | Clinical Social Worker |
| 069066-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
Locations
3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689
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": "1225843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1821242736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 CHAMBERLIN BLVD",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283767591",
"telephone_number": "910-510-4799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 WAGONER DR STE 311",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283034700",
"telephone_number": "910-510-4799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGESS",
"first_name": "TOYIA",
"middle_name": "CYNARA",
"name_prefix": "Mrs.",
"credential": "LCSW, CASAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-05",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "CO17240",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "069066-1",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "19499",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.