Individual provider · Type 1 NPI

Jessica Brooke Burgess, LMSW

Clinical Social Worker · Rockford, MI

NPI number 1104115104 Active

Practice location

7475 Ceilcrest Ln NE
Rockford, MI 49341-8824

Mailing address

805 Leonard St NE
Grand Rapids, MI 49503-1138

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801088186 (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 1104115104

Jessica Brooke Burgess, LMSW's National Provider Identifier is 1104115104, issued on Mar 31, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rockford, MI. The record was last updated on Nov 28, 2023.