Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Douglas Dubois Burgess, LCSW

Individual provider Clinical Social Worker · NPI 1700992062

Douglas Dubois Burgess, LCSW is a Clinical Social Worker in San Luis Obispo, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1551 Bishop St Ste A-160
San Luis Obispo, CA 93401-4635
Phone: (805) 269-1500
Fax: (805) 269-1585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCS 13534 (CA)

Record details

NPI number1700992062
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 21, 2006
Last updated in NPPESApril 21, 2015

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