Provider Demographics
NPI:1619552098
Name:BURGMAN, CAROL B (LCSW)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:B
Last Name:BURGMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1315 OAKVIEW ST
Mailing Address - Street 2:
Mailing Address - City:WHITE OAK
Mailing Address - State:PA
Mailing Address - Zip Code:15131-2413
Mailing Address - Country:US
Mailing Address - Phone:412-956-3342
Mailing Address - Fax:
Practice Address - Street 1:1315 OAKVIEW ST
Practice Address - Street 2:
Practice Address - City:WHITE OAK
Practice Address - State:PA
Practice Address - Zip Code:15131-2413
Practice Address - Country:US
Practice Address - Phone:412-956-3342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-16
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty