Provider Demographics
NPI:1447827118
Name:BURCHETT, AARON M (LCSW-C)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:M
Last Name:BURCHETT
Suffix:
Gender:
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13935 POINT LOOKOUT RD
Mailing Address - Street 2:
Mailing Address - City:RIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:20680-3220
Mailing Address - Country:US
Mailing Address - Phone:919-648-6503
Mailing Address - Fax:
Practice Address - Street 1:13935 POINT LOOKOUT RD
Practice Address - Street 2:
Practice Address - City:RIDGE
Practice Address - State:MD
Practice Address - Zip Code:20680-3220
Practice Address - Country:US
Practice Address - Phone:919-648-6503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-09
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD297571041C0700X, 1041C0700X
101YP2500X, 101Y00000X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)