| Douglas Dubois Burgess, LCSW | |
|
1551 Bishop St, Suite A-160, San Luis Obispo, CA 93401-4635 | |
| (805) 269-1500 | |
| (805) 269-1585 |
| Full Name | Douglas Dubois Burgess |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1551 Bishop St, San Luis Obispo, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700992062 | NPI | - | NPPES |
| FHC71031F | Medicaid | CA | |
| SW13534 | Other | PPIN | |
| W1508 | Other | CA | MEDICARE PTAN GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS 13534 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Dubois Burgess, LCSW 2050 S Blosser Rd, Santa Maria, CA 93458-7310 Ph: (805) 361-8028 | Douglas Dubois Burgess, LCSW 1551 Bishop St, Suite A-160, San Luis Obispo, CA 93401-4635 Ph: (805) 269-1500 |
Douglas Wayne Ballagh, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Highway 1, San Luis Obispo, CA 93409 Phone: 805-547-7900 | |
Mrs. Divina Gabuat, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2178 Johnson Ave, San Luis Obispo, CA 93401 Phone: 805-781-4752 | |
Andrea Diane Orr, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Colony Rd, San Luis Obispo, CA 93409 Phone: 805-709-3508 | |
Mr. William E. Watson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Colony Drive, San Luis Obispo, CA 93409 Phone: 547-790-0805 | |
Alicia Dueck, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 77 Casa St, San Luis Obispo, CA 93405 Phone: 805-269-1500 | |
Coleen Buckley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2178 Johnson Ave, San Luis Obispo, CA 93401 Phone: 805-781-4700 | |
Ms. Francine Lorraine Jansen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1124 Nipomo Street, Suite A, San Luis Obispo, CA 93401 Phone: 805-541-7911 Fax: 805-595-7989 |