National Provider Identifier
Mark R Burgess, LCSW-R
Mark R Burgess, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Batavia, NY and a listed phone number of (585) 344-1421.
Profile Overview
- NPI
- 1679865554
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- May 10, 2011
- Last Updated
- May 10, 2011
Practice Location
- 5130 E Main Street RD
- Suite 2
- Batavia, NY 14020-3496
Phone: (585) 344-1421
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1679865554
- Entity Type
- Individual
- Last Name
- Burgess
- First Name
- Mark
- Middle Name
- R
- Name Prefix
- Mr.
- Credential
- LCSW-R
- Mailing Street Address
- 5130 E Main Street RD
- Mailing Address Line 2
- Suite 2
- Mailing City
- Batavia
- Mailing State
- NY
- Mailing ZIP Code
- 14020-3496
- Mailing Country
- US
- Mailing Phone
- (585) 344-1421
- Mailing Fax
- (585) 345-3080
- Practice Street Address
- 5130 E Main Street RD
- Practice Address Line 2
- Suite 2
- Practice City
- Batavia
- Practice State
- NY
- Practice ZIP Code
- 14020-3496
- Practice Country
- US
- Practice Phone
- (585) 344-1421
- Practice Fax
- (585) 345-3080
- Enumeration Date
- May 10, 2011
- Last Updated
- May 10, 2011
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)