Individual provider · Type 1 NPI

Jerrod Richard Burgess, LMSW

Clinical Social Worker · Port Huron, MI

NPI number 1093186207 Active

Practice location

3111 Electric Ave
Port Huron, MI 48060-8127

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801120259 (MI)

Clinical Social Worker: 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 interpers…

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About NPI 1093186207

Jerrod Richard Burgess, LMSW's National Provider Identifier is 1093186207, issued on Oct 14, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Huron, MI. The record was last updated on Jun 25, 2025.