Individual provider · Type 1 NPI

Robert S. Burnside, LISW

Clinical Social Worker · Farmington, NM

NPI number 1962725945 Active

Practice location

4800 College Blvd, Suite 102
Farmington, NM 87402-4710

Fax (505) 326-5698

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI-05142 (NM)

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 1962725945

Robert S. Burnside, LISW's National Provider Identifier is 1962725945, issued on Mar 5, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Farmington, NM. The record was last updated on Mar 5, 2010.