Individual provider · Type 1 NPI

Jon Michael Burroughs, LCSW

Clinical Social Worker · Raleigh, NC

NPI number 1619026366 Active

Practice location

5505 Creedmoor Rd Ste 100
Raleigh, NC 27612-6333

Fax (919) 933-1854

Mailing address

4811 Fortunes Ridge Dr
Durham, NC 27713-9348

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC004134 (NC)

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 1619026366

Jon Michael Burroughs, LCSW's National Provider Identifier is 1619026366, issued on Jan 10, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Raleigh, NC. The record was last updated on Sep 5, 2008.