Active NPI
Jaclyn Burgdorf, LMSW
- Clinical Social Worker
- Houston, TX
National Provider Identifier
1821952201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 117109
- Practice address
- 888 W Sam Houston Pkwy S Ste 226
Houston, TX 77042-1953 - Phone
- (512) 660-3298
- NPI assigned
- Dec 11, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 117109 | TX | Primary |
Addresses
Primary practice location
888 W Sam Houston Pkwy S Ste 226
Houston, TX 77042-1953
Mailing address
10615 Perrin Beitel Rd Ste 100
San Antonio, TX 78217-3138
Phone (210) 771-8630
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117109 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765411200000",
"number": "1821952201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10615 PERRIN BEITEL RD STE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782173138",
"telephone_number": "210-771-8630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 W SAM HOUSTON PKWY S STE 226",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770421953",
"telephone_number": "512-660-3298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGDORF",
"first_name": "JACLYN",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-11",
"last_updated": "2025-12-11",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "117109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.