Aisha Burgess LMSW
Social Worker in Gainesville, FL(View on Map)
Full Name
Aisha Burgess LMSW
NPI Number
1225485758
NPI Type
Individual Provider
Gender
Female
Enumeration Date
05/13/2016
Specialties
(Taxonomies)Licenses
State
Florida
Tennessee
License Number
ISW9472
LMSW8850
Contact
Information
Purpose
Mailing
Location
Address
5800 NW 39TH AVE STE 102
5800 NW 39TH AVE STE 102
City
Gainesville
Gainesville
State
FL
FL
Postal Code
32606-6972
32606-6972
Country
US
US
Telephone Number
(352) 415-0203
(352) 415-0203
Identifiers
Identifier
LMSW8850
ISW9472
Identifier State
TN
FL
Identifier Issuer
TENNESSEE DEPARTMENT OF HEALTH
FLORIDA DEPARTMENT OF HEALTH
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/13/2016