Individual provider · Type 1 NPI

Mary J. Burst, LCSW

Clinical Social Worker · Evansville, IN

NPI number 1215854500 Active

Practice location

220 E Virginia St
Evansville, IN 47711-5530

Call (812) 777-0127 Map

Mailing address

2062 Cass Ave
Evansville, IN 47714-3704

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34012686A (IN)

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 1215854500

Mary J. Burst, LCSW's National Provider Identifier is 1215854500, issued on Jun 30, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Evansville, IN. The record was last updated on Jun 30, 2026.