Active NPI
Sheila Mary Burke, L.C.S.W.
- Clinical Social Worker
- Eagle River, AK
National Provider Identifier
1003012147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 43
- Practice address
- 10928 Eagle River Rd Ste 108
Eagle River, AK 99577-8079 - Phone
- (907) 350-1323
- NPI assigned
- Jun 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 43 | AK | Primary |
Addresses
Primary practice location
10928 Eagle River Rd Ste 108
Eagle River, AK 99577-8079
Mailing address
11811 Laurie Cir
Eagle River, AK 99577-7903
Phone (907) 350-1323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43 | AK | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003012147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11811 LAURIE CIR",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995777903",
"telephone_number": "907-350-1323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10928 EAGLE RIVER RD STE 108",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995778079",
"telephone_number": "907-350-1323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "SHEILA",
"middle_name": "MARY",
"name_prefix": "Ms.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AK",
"license": "43",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagle River, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.