DOUGLAS DUBOIS BURGESS L.C.S.W.
NPI 1700992062
Social Worker - Clinical in San Luis Obispo, CA

Active since August 21, 2006
1551 BISHOP ST, SUITE A-160, SAN LUIS OBISPO, CA 93401(805) 269-1500(805) 269-1585 Get Directions Write a Review

NPPES record last updated: April 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Douglas Dubois Burgess L.c.s.w. NPPES

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

DOUGLAS DUBOIS BURGESS L.C.S.W. (NPI 1700992062) is an individual clinical provider in San Luis Obispo, California, licensed in California (LCS 13534) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1700992062
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDOUGLAS DUBOIS BURGESSCredential: L.C.S.W.
Location Address1551 BISHOP ST, SUITE A-160San Luis Obispo, CA 93401-4635
Mailing Address2050 S Blosser RdSanta Maria, CA 93458-7310 · (805) 361-8028 · Fax (805) 361-8097
Fax(805) 269-1585
Sole ProprietorYes
Enumeration DateAugust 21, 2006
Last NPPES UpdateApril 21, 2015
NPI 1700992062 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 CA · LCS 13534
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.
1551 BISHOP ST, San Luis Obispo, CA 93401

Other Identifiers 4

Medicare OSCAR/certification000013534CA
OtherW1508CA · Medicare Ptan Group
OtherSW13534Ppin
MedicaidFHC71031FCA

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.

Physician Assistant (Medical)
1551 BISHOP ST, 220
SAN LUIS OBISPO, CA 93401
Clinic/Center (Federally Qualified Health Center (FQHC))
1551 BISHOP ST, SUITE 240
SAN LUIS OBISPO, CA 93401
Nurse Practitioner (Psychiatric/Mental Health)
1551 BISHOP ST, SUITE A-150
SAN LUIS OBISPO, CA 93401
Podiatrist (Foot & Ankle Surgery)
1551 BISHOP ST
SAN LUIS OBISPO, CA 93401
Dermatology (Procedural Dermatology)
1551 BISHOP ST, SUITE 220
SAN LUIS OBISPO, CA 93401
Registered Nurse (Women's Health Care, Ambulatory)
1551 BISHOP ST, SUITE 240
SAN LUIS OBISPO, CA 93401
Family Medicine
1551 BISHOP ST, 160
SAN LUIS OBISPO, CA 93401
Dermatology
1551 BISHOP ST, SUITE 410
SAN LUIS OBISPO, CA 93401

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 Douglas Burgess's NPI number?

The NPI number for Douglas Burgess is 1700992062. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Douglas Burgess located?

Douglas Burgess practices at 1551 Bishop St Suite A-160, San Luis Obispo, CA 93401. The listed phone number is (805) 269-1500.

What is Douglas Burgess's specialty?

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

When was this NPI record last updated?

The NPPES record for Douglas Burgess was last updated on April 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.