Individual provider · Type 1 NPI

Jonathan Maurice Burgos, LCSWA

Clinical Social Worker · Twentynine Palms, CA

NPI number 1740186279 Active

Practice location

3105 Upshur Ave Apt A
Twentynine Palms, CA 92277-9459

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP020133 (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 1740186279

Jonathan Maurice Burgos, LCSWA's National Provider Identifier is 1740186279, issued on Oct 20, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Twentynine Palms, CA. The record was last updated on Oct 20, 2026.