MEDICARE: DR. CHRISTOPHER AARON BURNER DSW, LCSW, MDIV, MSW

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
1	1041C0700X	Clinical Social Worker	C013216
2	1041C0700X	Clinical Social Worker	P012495	NC

General Provider Information

NPI Number	:	1518453786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER AARON BURNER DSW, LCSW, MDIV, MSW

Provider Business Mailing Address
First Line	:	1010 LAMOND AVE
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27701-2021
Country	:	US
Telephone Number	:	646-408-6233
Fax Number	:

Provider Business Practice Location Address
First Line	:	1010 LAMOND AVE
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27701-2021
Country	:	US
Telephone Number	:	646-408-6233
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2018
Last Update Date	:	06/02/2025

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