Mr Jon Michael Burroughs, LCSW | |
5505 Creedmoor Rd Ste 100, Raleigh, NC 27612-6333 | |
(919) 852-5352 | |
(919) 933-1854 |
Full Name | Mr Jon Michael Burroughs |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 25 Years |
Location | 5505 Creedmoor Rd Ste 100, Raleigh, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619026366 | NPI | - | NPPES |
6003440 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C004134 (North Carolina) | Primary |
Entity Name | Michael Burroughs, L.l.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285302166 PECOS PAC ID: 7113316597 Enrollment ID: O20211105002604 |
Mailing Address | Practice Location Address |
---|---|
Mr Jon Michael Burroughs, LCSW 4811 Fortunes Ridge Dr, Durham, NC 27713-9348 Ph: () - | Mr Jon Michael Burroughs, LCSW 5505 Creedmoor Rd Ste 100, Raleigh, NC 27612-6333 Ph: (919) 852-5352 |
Ms. Tonya R Gable, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-4163 Fax: 919-350-8509 | |
Ms. Holly H Head, P-LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-7445 Fax: 919-350-8509 | |
Carol D Kassey, MSW. LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5850 Faringdon Pl, Raleigh, NC 27609 Phone: 919-872-9974 Fax: 919-872-9975 | |
Miss Kimberly G. Kueny, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1001 Navaho Dr, Suite 210, Raleigh, NC 27609 Phone: 919-872-1178 Fax: 919-872-1170 | |
Casey Paganucci, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8105 Fayetteville Rd, Suite 121-2038, Raleigh, NC 27603 Phone: 919-364-5386 | |
Amy Lynn Bryan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4000 Wake Forest Rd, Suite 200, Raleigh, NC 27609 Phone: 919-865-8710 | |
Miss Darnesha Coleman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3125 Poplarwood Ct Ste 300, Raleigh, NC 27604 Phone: 919-790-8580 |