JUSTIN BURGESS (NPI# 1013377233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013377233 |
| Entity Type | Individual |
| Full Name | JUSTIN BURGESS |
| Credential | CSW |
| Practice Address |
721 W Maple St Rawlins WY 82301-5447 |
| Practice Telephone | 3073247156 |
| Practice Fax Number | 3073281651 |
| Mailing Telephone | 3073247156 |
| Mailing Fax Number | 3073281651 |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2016-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW-252 | WY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528530987 | Justin L Burgess | Specialist | 311 E Market St # 3, Lima, OH 45801-4535 | 2018-12-26 |
| Street Address |
721 W MAPLE ST |
| City | RAWLINS |
| State | WY |
| Zip Code | 82301-5447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386757714 | Jared James Schwab | Counselor | 721 W Maple St, Rawlins, WY 82301-5447 | 2006-08-17 |
| 1093359259 | Jason C Harshberger | Student in an Organized Health Care Education/Training Program | 721 W Maple St, Rawlins, WY 82301-5447 | 2019-10-31 |
| 1740843747 | Samantha N Whinery | Community Health Worker | 721 W Maple St, Rawlins, WY 82301-5447 | 2019-04-16 |
| 1548753601 | William Maughan | Counselor | 721 W Maple St, Rawlins, WY 82301-5447 | 2018-06-12 |
| 1427546886 | Rebecca Goodman | Social Worker | 721 W Maple St, Rawlins, WY 82301-5447 | 2018-05-01 |
| 1174025324 | Richard L Maners | Counselor | 721 W Maple St, Rawlins, WY 82301-5447 | 2018-03-04 |
| 1760981021 | Melody A Scott | Community Health Worker | 721 W Maple St, Rawlins, WY 82301-5447 | 2018-02-01 |
| 1821500646 | Barbara Romero | Case Manager/Care Coordinator | 721 W Maple St, Rawlins, WY 82301-5447 | 2017-11-02 |
| 1710361381 | Josiah Peck | Counselor | 721 W Maple St, Rawlins, WY 82301-5447 | 2015-07-14 |
| 1063801306 | Jessica Thayer | Community Health Worker | 721 W Maple St, Rawlins, WY 82301-5447 | 2015-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583606 | Kyliah Petrita Ferris | Speech-Language Pathologist | 1801 Edinburgh Street #2, Rawlins, WY 82301 | 2020-09-16 |
| 1427571454 | Levi Pearce Brinkerhoff | Dentist | 2900 S Higley Blvd, Rawlins, WY 82301 | 2017-07-21 |
| 1861928012 | Stephanie Murry | Speech-Language Pathologist | 1801 Edinburgh, Rawlins, WY 82301 | 2017-05-10 |
| 1992167811 | Gwen Louise Gale | Registered Nurse | 2 North Cherokee Rd, Rawlins, WY 82301 | 2016-03-22 |
| 1194109520 | Alison Brown | Case Management | 2014 E Cedar St Suite B, Rawlins, WY 82301 | 2015-07-15 |
| 1003238718 | Jessica Zamudio Bright | Marriage & Family Therapist | 1800 Edinburgh Street, Rawlins, WY 82301 | 2014-01-15 |
| 1093149965 | Michele Dolores Deherrera | Social Worker | 1800 Edinburgh, Rawlins, WY 82301 | 2013-08-28 |
| 1295019693 | Amber Jeanne Green | Case Manager/Care Coordinator | 1209 Lambda Dr, Rawlins, WY 82301 | 2011-10-04 |
| 1730477266 | Cowboy Urgent Care, Inc | Clinic/Center | 519 8th Street, Rawlins, WY 82301 | 2011-07-19 |
| 1588990949 | Skylar Jason Brenden | Chiropractor | 801 West Maple, Rawlins, WY 82301 | 2009-10-20 |
| Find all providers in zip 82301 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770902025 | Sheryl L Foland | Social Worker | 1208 W Spruce St, Rawlins, WY 82301-5214 | 2014-04-15 |
| 1093149965 | Michele Dolores Deherrera | Social Worker | 1800 Edinburgh, Rawlins, WY 82301 | 2013-08-28 |
| 1902071582 | Rawlins Family Mental Health Center, LLC | Social Worker | 501 W Buffalo St, Rawlins, WY 82301-5622 | 2008-04-24 |
| 1184758393 | Kari Lynn Skordas | Social Worker | 1815 Daley St, Rawlins, WY 82301-5911 | 2007-03-16 |
| 1134291131 | Glenn Dale Biggs | Social Worker | 1101 W Spruce St, Rawlins, WY 82301-5211 | 2006-11-14 |
| 1427546886 | Rebecca Goodman | Social Worker | 721 W Maple St, Rawlins, WY 82301-5447 | 2018-05-01 |
| 1770088130 | S48wy4, LLC | Social Worker | 606 23rd St, Rawlins, WY 82301-5127 | 2018-03-28 |
| 1356713820 | Kyanna Francour | Social Worker | 1800 Edinburgh St, Rawlins, WY 82301-4506 | 2015-10-23 |
| 1568714681 | Cecelia Mikesell | Social Worker | 501 W Buffalo St, Basement, Rawlins, WY 82301-5622 | 2012-10-12 |
| 1093065237 | William Peter Clark | Social Worker | 606 23rd St, Rawlins, WY 82301-5127 | 2012-09-14 |
| Find all providers in RAWLINS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.