Provider Demographics
NPI:1134147754
Name:BURNS, ROSS DUNSTAN KING (LCSW)
Entity type:Individual
Prefix:MR
First Name:ROSS
Middle Name:DUNSTAN KING
Last Name:BURNS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67437 RIO VISTA DR
Mailing Address - Street 2:
Mailing Address - City:CATHEDRAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92234-8632
Mailing Address - Country:US
Mailing Address - Phone:442-637-3806
Mailing Address - Fax:
Practice Address - Street 1:225 S CIVIC DR STE 2-11
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-7228
Practice Address - Country:US
Practice Address - Phone:442-637-3806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW726861041C0700X
MD120181041C0700X
VA1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical