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

Individual provider Clinical Social Worker · NPI 1679865554

Mr. Mark R Burgess, LCSW-R is a Clinical Social Worker in Batavia, New York. Qualified in 2000, 26 years ago. Practices with Bmsc Az LLC, a 133-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
26
Licensed in
NY
In the registry since
2011
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Practice location Address checks out

5130 E Main Street Rd Ste 2
Batavia, NY 14020-3496
Phone: (585) 344-1421
Fax: (585) 345-3080
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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 075758-1 (NY)

Record details

NPI number1679865554
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-R
Sole proprietorNo
NPI enumeratedMay 10, 2011
Last updated in NPPESMay 10, 2011

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Bmsc Az Llc — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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