Provider Demographics
NPI:1821242736
Name:BURGESS, TOYIA CYNARA (LCSW, CASAC)
Entity type:Individual
Prefix:MRS
First Name:TOYIA
Middle Name:CYNARA
Last Name:BURGESS
Suffix:
Gender:F
Credentials:LCSW, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 CHAMBERLIN BLVD
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-7591
Mailing Address - Country:US
Mailing Address - Phone:910-510-4799
Mailing Address - Fax:
Practice Address - Street 1:351 WAGONER DR STE 311
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-4700
Practice Address - Country:US
Practice Address - Phone:910-510-4799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-05
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCO172401041C0700X
NY069066-11041C0700X
NY19499101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)