Individual provider · Type 1 NPI

Edna C. Burgos, ASW

Clinical Social Worker · San Diego, CA

NPI number 1134591167 Active

Practice location

823 Gateway Center Way
San Diego, CA 92102-4541

Call (619) 515-2300 Map

Mailing address

2440 3rd Ave
San Diego, CA 92101-1516

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XASW35321 (CA)
Clinical Social Worker Primary 1041C0700X85597 (CA)

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 1134591167

Edna C. Burgos, ASW's National Provider Identifier is 1134591167, issued on Oct 29, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Apr 25, 2019.