Healthcare Provider Details

I. General information

NPI: 1245011626
Provider Name (Legal Business Name): TEKIA R. HUGER-BURTON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KIA BURTON LCSW

II. Dates (important events)

Enumeration Date: 10/11/2023
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 N WEST ST STE 1200
WILMINGTON DE
19801-1058
US

IV. Provider business mailing address

1130 OGLETOWN RD STE 2
NEWARK DE
19711-5689
US

V. Phone/Fax

Practice location:
  • Phone: 302-618-3633
  • Fax:
Mailing address:
  • Phone: 302-618-3633
  • Fax: 302-309-7701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW027949
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberQ1-0012641
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: