Keila M. Burgos Lopez, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

089986 Issued in NY

Practice address

487 S Broadway # 220
C/O WJCS
Yonkers, NY 10705-3269

Phone

(914) 423-4433

Fax

(914) 423-9434

NPI assigned

Jan 12, 2015

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 NY

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, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Westchester Jewish Community Services Inc.

  • Community/Behavioral Health Agency
  • White Plains, NY
  • NPI 1457381196
  Medicare reassignment NPD

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1942699129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 S BROADWAY # 220",
            "address_2": "C/O WJCS",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107053269",
            "telephone_number": "914-423-4433",
            "fax_number": "914-423-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 S BROADWAY # 220",
            "address_2": "C/O WJCS",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107053269",
            "telephone_number": "914-423-4433",
            "fax_number": "914-423-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOS LOPEZ",
        "first_name": "KEILA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "089986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Bunch
• Savitri Buntin
• Mercedes Anna Burbridge, MS OTR/L
• Tami Burgess Dilbert
• Victoria Burgess, RD
• Maria Burgos, LCSW
• Ranyel Burgos
• Elizabeth Burke, RN
• Finola Burke, MS, CCC-SLP
• Savannah Ethel Burke

• Social Worker in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.