MR. JERROD RICHARD BURGESS LMSW
NPI 1093186207
Social Worker - Clinical in Port Huron, MI

Q: What is Jerrod Burgess's NPI number?

The NPI number for Jerrod Burgess is 1093186207. It was assigned to this individual provider in the NPPES registry on October 14, 2015.

Q: What is Jerrod Burgess's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Jerrod Burgess was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 14, 2015PECOS Enrolled

3111 ELECTRIC AVE, PORT HURON, MI 48060(810) 985-8900 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2025, Apr 28, 2017 (2 updates tracked since 2017).

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About Mr. Jerrod Richard Burgess Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JERROD RICHARD BURGESS LMSW (NPI 1093186207) is an individual clinical provider in Port Huron, Michigan, licensed in Michigan (6801120259) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1093186207

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. JERROD RICHARD BURGESSCredential: LMSW

Location Address3111 ELECTRIC AVEPort Huron, MI 48060-8127

Mailing Address3111 Electric AvePort Huron, MI 48060-8127 · (810) 985-8900

Phone(810) 985-8900

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 14, 2015

Last NPPES UpdateJune 25, 20252 updates tracked since enumeration

NPPES CertifiedJune 25, 2025

✔ NPI 1093186207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MI · 6801120259

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

3111 ELECTRIC AVE, Port Huron, MI 48060

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jerrod Richard Burgess Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901310796

PECOS Enrollment IDI20250703002480

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.34 – $166.68

Typical copayment $0.00 (range $13.58 – $41.67)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARY E CROTEAU R.N.,B.S.N.

Registered Nurse