Active NPIIndividual providerSole proprietor

Marygrace Burke, LCSW

Social Worker, Clinical in New Haven, Connecticut

NPI Number1114744539
Practice location
1 Horsley Ave, New Haven, CT 06512-3105
Fax
—
Last updated
September 25, 2024

Marygrace Burke is a Social Worker, Clinical based in New Haven, CT. Marygrace Burke practices in New Haven, CT and has the professional credentials of LCSW. The NPI Number for Marygrace Burke is 1114744539 and holds a License No. 14490 (CT). The current practice location address for Marygrace Burke is 1 Horsley Ave, New Haven, CT 06512-3105 and can be reached out via phone at 732-690-5203.

Provider Profile Details

NPI Number
1114744539
Provider Name
Marygrace Burke
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
1 Horsley Ave, New Haven, CT 06512-3105
Phone Number
732-690-5203
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 25, 2024
Last Update Date
September 25, 2024
Certification Date
September 25, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Horsley Ave
New Haven, CT 06512-3105
Zip
06512-3105
Phone Number
732-690-5203
New Haven, CT 06512Get directions →

Provider Business Mailing Address Details

Address
1 Horsley Ave
New Haven, CT 06512-3105
City
New Haven
State
CT
Zip
06512-3105
Phone Number
732-690-5203

License Information

License Number
14490
License State
CT
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marygrace Burke, LCSW?

The NPI number of Marygrace Burke, LCSW is 1114744539. It was assigned on September 25, 2024 and is currently active in the NPPES registry.

What is the specialty of Marygrace Burke, LCSW?

Marygrace Burke, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 14490.

Where does Marygrace Burke, LCSW practice?

The practice location is 1 Horsley Ave, New Haven, CT 06512-3105. The office can be reached at 732-690-5203 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114744539 directly on the NPPES registry website.

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