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DOUGLAS DUBOIS BURGESS L.C.S.W. NPI 1700992062


NPI Information

NPI: 1700992062
Provider Name: DOUGLAS DUBOIS BURGESS, L.C.S.W.
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
1551 BISHOP ST
SUITE A-160
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 269-1500
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Douglas Dubois Burgess, L.C.S.W. is a clinical social worker in San Luis Obispo, CA. The provider is 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. Douglas Dubois Burgess, L.C.S.W. NPI is 1700992062. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1551 BISHOP ST
SUITE A-160
SAN LUIS OBISPO, CA
ZIP 93401-635
Phone: (805) 269-1500
Fax: (805) 269-1585

The enumeration date for this NPI number is 8/21/2006 and was last updated on 4/21/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalLCS 13534CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000013534MEDICARE OSCAR/CERTIFICATIONCALIFORNIA
2W1508OTHERCALIFORNIAMEDICARE PTAN GROUP
3SW13534OTHERPPIN
4FHC71031FMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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