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NPI Code Detail

MEDICARE: MR. JAY WESLEY BURROWS MSW, LCSW, CADC, CCS

MEDICARE:  MR. JAY WESLEY BURROWS  MSW, LCSW, CADC, CCS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerCW018779PA

General Provider Information

NPI Number : 1205326196
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAY WESLEY BURROWS MSW, LCSW, CADC, CCS
Provider Business Mailing Address
First Line : 3678 DOGLEG TRL
Second Line :
City : ERIE
State : PA
Zip : 16510-5964
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4906 RICHMOND ST
Second Line :
City : ERIE
State : PA
Zip : 16509-1978
Country : US
Telephone Number : 814-864-4226
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2018
Last Update Date : 12/10/2025

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Directions to “ MR. JAY WESLEY BURROWS MSW, LCSW, CADC, CCS” Practice Location

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