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

Lisa Burgos, LCSW

Individual provider Clinical Social Worker · NPI 1871028829

Lisa Burgos, LCSW is a Clinical Social Worker in Lakeland, Florida. Qualified in 2010, 16 years ago. Practices with A Time to Change Counseling Center, a 7-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
16
Licensed in
FL
In the registry since
2017
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

1835 Gilmore Ave
Lakeland, FL 33805-3017
Phone: (863) 519-0575
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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 SW19016 (FL)

Record details

NPI number1871028829
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 27, 2017
Last updated in NPPESFebruary 14, 2022
Certification dateFebruary 14, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice A Time To Change Counseling Center — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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