MARY BURGESS (NPI# 1528549383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528549383 |
| Entity Type | Individual |
| Full Name | MARY BURGESS |
| Practice Address |
1221 W 5th St Sheridan WY 82801-2701 |
| Practice Telephone | 3076744405 |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
PCSW-804 | WY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366969602 | Mary Elizabeth Burgess | Speech-Language Pathologist | 292 S Pine St Ste B, Spartanburg, SC 29302-2673 | 2017-08-28 |
| 1598884173 | Mary P Burgess | Massage Therapist | 176 154th Pl Ne, Bellevue, WA 98007-5026 | 2007-03-28 |
| 1861519787 | Mary Simmons Burgess | Family Medicine | 1170 Cypress Glen Cir, Kissimmee, FL 34741-7560 | 2007-03-24 |
| 1194868844 | Mary C Burgess | Midwife | 3039 Peabody St, Bellingham, WA 98225-1740 | 2007-02-14 |
| 1487109666 | Mary Burgess | Pharmacist | 200 E Broadway, Louisville, KY 40202-2008 | 2016-08-17 |
| 1417320409 | Mary Powell Burgess | Registered Nurse | 418 E Main St, Jefferson, NC 28640-8984 | 2015-11-12 |
| 1821244708 | Mary Elizabeth Burgess | Counselor | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2008-08-12 |
| 1407011968 | Mary Joan Burgess | Internal Medicine | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2008-07-24 |
| 1750418703 | Mary J Burgess | Registered Nurse | 2045 Franklin St, Denver, CO 80205-5437 | 2007-02-27 |
| Street Address |
1221 W 5TH ST |
| City | SHERIDAN |
| State | WY |
| Zip Code | 82801-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801861703 | Barbara L Denaeyer | Counselor | 1221 W 5th St, Sheridan, WY 82801-2701 | 2006-02-22 |
| 1720686611 | Haylee Ann Fleming | Social Worker | 1221 W 5th St, Sheridan, WY 82801-2701 | 2020-10-13 |
| 1699373597 | Nysha Rae Soper | Social Worker | 1221 W 5th St, Sheridan, WY 82801-2701 | 2020-10-13 |
| 1053951418 | Lelalelei Nomura | Counselor | 1221 W 5th St, Sheridan, WY 82801-2701 | 2020-01-13 |
| 1508339649 | Kevin James Parker | Counselor | 1221 W 5th St, Sheridan, WY 82801-2701 | 2019-01-10 |
| 1215449152 | Skylar Scott | Case Manager/Care Coordinator | 1221 W 5th St, Sheridan, WY 82801-2701 | 2017-11-01 |
| 1811408974 | Melony Ray Sanford | Counselor | 1221 W 5th St, Sheridan, WY 82801-2701 | 2017-10-17 |
| 1558889394 | Kelli Ann Johnson | Counselor | 1221 W 5th St, Sheridan, WY 82801 | 2017-08-31 |
| 1639697535 | Jayme R. Ackerman | Case Manager/Care Coordinator | 1221 W 5th St, Sheridan, WY 82801-2701 | 2017-08-31 |
| 1477083699 | Kayla Richelle Stevens | Social Worker | 1221 W 5th St, Sheridan, WY 82801-2701 | 2017-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891320172 | Sarah Coulter | Physician Assistant | 1401 W 5th Street, Attention Medical Services Staff, Sheridan, WY 82801 | 2020-03-07 |
| 1013552082 | Bonnie Bowman Schlesselman | Occupational Therapy Assistant | 1851 Big Horn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-13 |
| 1790320976 | Jory Lee Turk | Physical Therapy Assistant | 1851 Bighorn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-12 |
| 1356901532 | Kelsi Marie Martinez | Speech-Language Pathologist | 376 W Brundage St, Sheridan, WY 82801 | 2019-06-19 |
| 1841760410 | Christopher Michael Evans | Peer Specialist | 1221 W 5th Street, Sheridan, WY 82801 | 2018-11-27 |
| 1922582402 | Wyoming Eye Surgeons | Ophthalmology | 36 N. Gould St., Suite 2a, Sheridan, WY 82801 | 2018-09-20 |
| 1700368164 | Ashly Rose Garretson | Case Manager/Care Coordinator | 616 W 10th, Sheridan, WY 82801 | 2018-09-02 |
| 1053805382 | Sheridan Peak Wellness | Nutritionist | 740 S. Thurmond St., Sheridan, WY 82801 | 2018-06-20 |
| 1275040636 | Amber Van Dyke | Case Management | 757 Hwy 14 E, Sheridan, WY 82801 | 2018-01-08 |
| 1689103046 | Laura L Burrell | Case Manager/Care Coordinator | 151 W Brundage Street, Sheridan, WY 82801 | 2017-06-08 |
| Find all providers in zip 82801 | ||||
| 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 |
|---|---|---|---|---|
| 1548635493 | Layne Katheryne Holler | Social Worker | 45 E. Loucks St., Sheridan, WY 82801 | 2015-12-03 |
| 1609242262 | Fern Renee Young | Social Worker | 1116 4th Ave E Spc 2, Sheridan, WY 82801-6254 | 2015-08-18 |
| 1659615037 | Joy Liana Hart Brown | Social Worker | 2161 Coffeen Ave Ste 401, Sheridan, WY 82801-5771 | 2012-11-25 |
| 1013281575 | New Leaf Counseling of Sheridan, LLC | Social Worker | 1309 Coffeen Ave Ste C, Sheridan, WY 82801-5778 | 2012-03-01 |
| 1437441284 | Meggan M Mcbride-garwood | Social Worker | 1155 Illinois St, Sheridan, WY 82801-5617 | 2011-05-12 |
| 1538479209 | Kim Ripley | Social Worker | 1949 Sugarland Dr Ste 218, Sheridan, WY 82801-5765 | 2010-10-15 |
| 1598089807 | Juli K Wallin-fisgus | Social Worker | 2161 Coffeen Ave, Sheridan, WY 82801-5754 | 2010-03-16 |
| 1922333236 | Victoria Jean Tellez | Social Worker | 909 Long Dr Ste A, Sheridan, WY 82801-3282 | 2009-10-05 |
| 1013153451 | Jerry Iekel | Social Worker | 1 East Alger Street, Suite 217, Sheridan, WY 82801 | 2009-01-06 |
| 1144476029 | Carolyn Ann Robinson | Social Worker | 1511 Mydland Rd Lot 150, Sheridan, WY 82801-2137 | 2008-08-12 |
| Find all providers in SHERIDAN | ||||
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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.