EDNA C BURGOS ASW
NPI 1134591167
Social Worker - Clinical in San Diego, CA

Q: What is Edna Burgos's NPI number?

The NPI number for Edna Burgos is 1134591167. It was assigned to this individual provider in the NPPES registry on October 29, 2015.

Q: What is Edna Burgos'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 Edna Burgos was last updated on April 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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 29, 2015

823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102(619) 515-2300 Get Directions Write a Review

NPPES record last updated: April 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Edna C Burgos Asw NPPES

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

EDNA C BURGOS ASW (NPI 1134591167) is an individual clinical provider in San Diego, California, licensed in California (85597) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1134591167

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameEDNA C BURGOSCredential: ASW

Location Address823 GATEWAY CENTER WAYSan Diego, CA 92102-4541

Mailing Address2440 3rd AveSan Diego, CA 92101-1516 · (619) 702-4186 · Fax (619) 702-5924

Phone(619) 515-2300

Sole ProprietorNo

Enumeration DateOctober 29, 2015

Last NPPES UpdateApril 25, 2019

✔ NPI 1134591167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 85597

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License ASW35321 (CA)

823 GATEWAY CENTER WAY, San Diego, CA 92102

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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.

SUSAN KERMOIAN YASZAY NP

Nurse Practitioner (Family)