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Contact Information

DAVID L BURGESS, LCSW
2920 FORESTVILLE RD
RALEIGH, NC27616-8774
 Phone: 910-319-1827
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for DAVID L BURGESS · (Male)

NPI Number 1891361507
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 06/02/2021
Last updated 02/17/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • NC License # C016489
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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