Active NPIIndividual providerSole proprietor

Mr. Michael M Burke, LICSW

Social Worker, Clinical in Provincetown, Massachusetts

NPI Number1558441527
Practice location
237 Commercial St, Provincetown, MA 02657-2102
Fax
508-487-8301
Last updated
April 13, 2018

Michael M Burke is a Social Worker, Clinical based in Provincetown, MA. Michael M Burke practices in Provincetown, MA and has the professional credentials of LICSW. The NPI Number for Michael M Burke is 1558441527 and holds a License No. 113682 (MA). The current practice location address for Michael M Burke is 237 Commercial St, Provincetown, MA 02657-2102 and can be reached out via phone at 508-487-8300 and via fax at 508-487-8301.

Provider Profile Details

NPI Number
1558441527
Provider Name
Michael M Burke
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
237 Commercial St, Provincetown, MA 02657-2102
Phone Number
508-487-8300
Fax Number
508-487-8301
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 16, 2006
Last Update Date
April 13, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
237 Commercial St
Provincetown, MA 02657-2102
Zip
02657-2102
Phone Number
508-487-8300
Fax Number
508-487-8301
Provincetown, MA 02657Get directions →

Provider Business Mailing Address Details

Address
232 Bradford St
Provincetown, MA 02657-1745
City
Provincetown
State
MA
Zip
02657-1745
Phone Number
508-717-5070
Fax Number
508-487-4468

License Information

License Number
113682
License State
MA
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 Mr. Michael M Burke, LICSW?

The NPI number of Mr. Michael M Burke, LICSW is 1558441527. It was assigned on October 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Michael M Burke, LICSW?

Mr. Michael M Burke, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 113682.

Where does Mr. Michael M Burke, LICSW practice?

The practice location is 237 Commercial St, Provincetown, MA 02657-2102. The office can be reached at 508-487-8300 (phone) or 508-487-8301 (fax).

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 1558441527 directly on the NPPES registry website.

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