Holly Burgin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C008604 Issued in NC

Practice address

8510 Six Forks Rd
Ste 101
Raleigh, NC 27615-3258

Phone

(919) 260-8229

Fax

(919) 590-1982

NPI assigned

Aug 22, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Momentum Counseling Services, PLLC

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1497115281
  Medicare reassignment NPD Authorized official
• Easter Seals Ucp North Carolina & Virginia, Inc.

  • Pharmacy
  • New Bern, NC
  • NPI 1013769629
  NPD (past)
• Easter Seals Ucp North Carolina & Virginia, Inc.

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1568524031
  NPD (past)

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1841699162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 UNIVERSITY DR STE 101",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076260",
            "telephone_number": "919-433-0170",
            "fax_number": "919-226-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8510 SIX FORKS RD",
            "address_2": "STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153258",
            "telephone_number": "919-260-8229",
            "fax_number": "919-590-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGIN",
        "first_name": "HOLLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-22",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elwood Johnson Burgess Jr., PSY.D.
• Meredith Billups Burgess, BT
• Pamela Robin Burgess, CRNA
• Savanna Burgess
• Samantha Burggraf, MS, LCAS-A
• Emily Ann Burgon, O.D.
• Kitzia Burgos-Wright
• Caroline Buric, MD
• Ulugbek Buriev, MD
• John L Burkard Jr., M.D.

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.

Verify at the official NPI Registry.