Kathleen Mary Burgess, LCSW

Clinical Social Worker · Wilmington, IL

Individual Active NPI

NPI number 1518084896

Practice location

19581 W Ballou Rd
Wilmington, IL 60481-8939
Phone
(815) 476-6589

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NPI record

NPI
1518084896
Entity type
Individual (Type 1)
Enumeration date
March 23, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X — IL

About Kathleen Burgess

Kathleen Mary Burgess, LCSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 19581 W Ballou Rd, Wilmington, IL 60481-8939. The NPI number 1518084896 was assigned on March 23, 2007 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of Kathleen Mary Burgess, LCSW?

The NPI number is 1518084896.

What is the phone number of Kathleen Burgess?

The phone number listed for the practice location is (815) 476-6589.

Where is Kathleen Burgess located?

19581 W Ballou Rd, Wilmington, IL 60481-8939.

What is the taxonomy code for Kathleen Burgess?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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