Provider Demographics
NPI:1851536999
Name:BUERGERS, LUCILLE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LUCILLE
Middle Name:
Last Name:BUERGERS
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 1:14 ACORN PATH
Mailing Address - Street 2:
Mailing Address - City:EAST QUOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11942-4713
Mailing Address - Country:US
Mailing Address - Phone:631-728-2221
Mailing Address - Fax:
Practice Address - Street 1:14 ACORN PATH
Practice Address - Street 2:
Practice Address - City:EAST QUOGUE
Practice Address - State:NY
Practice Address - Zip Code:11942-4713
Practice Address - Country:US
Practice Address - Phone:631-728-2221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-03
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR020641-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical