Active NPI
Mairead Burke, LCSW-C
- Clinical Social Worker
- Silver Spring, MD
National Provider Identifier
1003692823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC50082118
- Practice address
- 9507 Dallas Ave
Silver Spring, MD 20901-3213 - Phone
- (240) 203-9303
- Fax
- (240) 244-9980
- NPI assigned
- Sep 6, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 23367 | MD | |
| Clinical Social Worker | 1041C0700X | 59512 | TX | |
| Clinical Social Worker | 1041C0700X | LC50082118 | DC | Primary |
Addresses
Primary practice location
9507 Dallas Ave
Silver Spring, MD 20901-3213
Mailing address
PO Box 8313
Silver Spring, MD 20907-8313
Phone (240) 203-9303
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 |
|---|---|---|---|
| 59512 | TX | MD | Psychologist |
| LC50082118 | DC | MD | Clinical Social Worker |
| 23367 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1003692823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8313",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209078313",
"telephone_number": "240-203-9303",
"fax_number": "240-244-9980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9507 DALLAS AVE",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209013213",
"telephone_number": "240-203-9303",
"fax_number": "240-244-9980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "MAIREAD",
"name_prefix": "Ms.",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-06",
"last_updated": "2023-10-17",
"certification_date": "2023-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "23367",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "59512",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50082118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.