| Bobbi J Burg Lcsw Llc | |
|
305 Sw Market St # 8 Lees Summit MO 64063-2388 | |
| (816) 702-8778 | |
| (816) 203-4499 |
| Full Name | Bobbi J Burg Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 305 Sw Market St # 8, Lees Summit, Missouri |
| Authorized Official Name and Position | Bobbi J Burg (OWNER) |
| Authorized Official Contact | 8167028778 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bobbi J Burg Lcsw Llc 305 Sw Market St # 8 Lees Summit MO 64063-2388 Ph: (816) 702-8778 | Bobbi J Burg Lcsw Llc 305 Sw Market St # 8 Lees Summit MO 64063-2388 Ph: (816) 702-8778 |
| NPI Number | 1265077127 |
|---|---|
| Provider Enumeration Date | 11/14/2019 |
| Last Update Date | 01/25/2021 |
| Certification Date | 12/16/2020 |
| Medicare PECOS PAC ID | 5698007029 |
|---|---|
| Medicare Enrollment ID | O20191104002223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265077127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Bobbi J Burg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194156810 PECOS PAC ID: 5092003491 Enrollment ID: I20161018002981 |
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