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JENICE BURGOS LMSW
NPI 1174297865
Clinic/Center - Adult Mental Health in Brooklyn, NY

Active since August 05, 2021
760 BROADWAY # 5A206, BROOKLYN, NY 11206(718) 963-5893(718) 630-3138 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jenice Burgos Lmsw NPPES

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

JENICE BURGOS LMSW (NPI 1174297865) is an individual adult mental health provider in Brooklyn, New York, licensed in New York (107043) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1174297865
Entity TypeIndividualFemale
Primary Taxonomy261QM0850X
Provider Legal NameJENICE BURGOSCredential: LMSW
Location Address760 BROADWAY # 5A206Brooklyn, NY 11206-5383
Mailing Address1450 Gates Ave Apt 1rBrooklyn, NY 11237-5669 · (347) 553-6798
Phone(718) 963-5893
Fax(718) 630-3138
Sole ProprietorYes
Enumeration DateAugust 5, 2021
NPPES CertifiedAugust 5, 2021
✔ NPI 1174297865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in NY · 107043
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
760 BROADWAY # 5A206, Brooklyn, NY 11206
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Other Identifiers 1

Medicaid100148153NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenice Burgos's NPI number?

The NPI number for Jenice Burgos is 1174297865. It was assigned to this individual provider in the NPPES registry on August 5, 2021.

Where is Jenice Burgos located?

Jenice Burgos practices at 760 Broadway # 5a206, Brooklyn, NY 11206. The listed phone number is (718) 963-5893.

What is Jenice Burgos's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Jenice Burgos was last updated on August 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.