Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jon Michael Burroughs, LCSW

Individual provider Clinical Social Worker · NPI 1619026366

Mr. Jon Michael Burroughs, LCSW is a Clinical Social Worker in Raleigh, North Carolina. Qualified in 1999, 27 years ago. Accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
27
Licensed in
NC
In the registry since
2007
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

5505 Creedmoor Rd Ste 100
Raleigh, NC 27612-6333
Phone: (919) 852-5352
Fax: (919) 933-1854
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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 C004134 (NC)

Record details

NPI number1619026366
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 10, 2007
Last updated in NPPESSeptember 5, 2008

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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