KATHARINE BURGESS
NPI 1902429194
Social Worker - Clinical in Costa Mesa, CA

Active since May 21, 2020
2330 VANGUARD WAY APT Q106, COSTA MESA, CA 92626(562) 810-6277 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katharine Burgess NPPES

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

KATHARINE BURGESS (NPI 1902429194) is an individual clinical provider in Costa Mesa, California, licensed in California (79590) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1902429194
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHARINE BURGESS
Location Address2330 VANGUARD WAY APT Q106Costa Mesa, CA 92626-6583
Mailing Address2330 Vanguard Way Apt Q106Costa Mesa, CA 92626-6583
Sole ProprietorNo
Enumeration DateMay 21, 2020
NPPES CertifiedMay 21, 2020
NPI 1902429194 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 · 79590
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.
2330 VANGUARD WAY APT Q106, Costa Mesa, CA 92626

Other Names 1

Former Name (1)Katharine Takeshita

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 Katharine Burgess's NPI number?

The NPI number for Katharine Burgess is 1902429194. It was assigned to this individual provider in the NPPES registry on May 21, 2020. The provider is also known as Katharine Takeshita.

Where is Katharine Burgess located?

Katharine Burgess practices at 2330 Vanguard Way Apt Q106, Costa Mesa, CA 92626. The listed phone number is (562) 810-6277.

What is Katharine 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 Katharine Burgess was last updated on May 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.