Individual provider Active NPI

Christina Burke

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1053132845
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC200003308 Issued in DC
Practice address
1946 Bennett PL NE
Washington, DC 20002-4114
Phone
(559) 554-1365
NPI assigned
Oct 23, 2024
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC200003308 DC Primary

Addresses

Primary practice location

1946 Bennett PL NE
Washington, DC 20002-4114

Mailing address

1946 Bennett PL NE
Washington, DC 20002-4114
Phone (559) 554-1365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20241216002877 DC Practitioner - Clinical Social Worker 5597291476 Reassigns benefits to 1 organization
I20250129002163 VA Practitioner - Clinical Social Worker 5597291476 Reassigns benefits to 1 organization
I20250506000833 MD Practitioner - Clinical Social Worker 5597291476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
National Deaf TherapyGroup PAC ID 8921438946, 8 clinicians

Practice addresses (Care Compare)

Washington, DC 20036
Phone (800) 475-0711

Henrico, VA 23294
Phone (800) 475-0711

5000 Thayer Ctr
C
Oakland, MD 21550-1139
Phone (800) 475-0711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC200003308DCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
National Deaf Therapy Clinical CurrentSince Nov 1, 2024 Accepting new patients

Locations

1717 N St NW
Ste 1
Washington, DC 20036
Phone (202) 519-8867

5000 Thayer Ctr
#C
Oakland, MD 21550
Phone (202) 596-6950

2355 State St
Ste 101
Salem, OR 97301
Phone (503) 383-9039

13359 N Highway 183
Ste 406685
Austin, TX 78750

8401 Mayland Dr
Ste S
Richmond, VA 23294
Phone (774) 473-8890

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1053132845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 BENNETT PL NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024114",
            "telephone_number": "559-554-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1946 BENNETT PL NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024114",
            "telephone_number": "559-554-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "CHRISTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC200003308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.