Individual provider Active NPI

Michele L. Burrell, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1174545156
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R055306 Issued in NY
Practice address
159 East 53Rd Street
4TH Floor
New York, NY 10022
Phone
(646) 754-2700
Fax
(646) 754-9803
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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 R055306 NY Primary

Addresses

Primary practice location

159 East 53Rd Street
4TH Floor
New York, NY 10022

Mailing address

159 East 53Rd Street
4TH Floor
New York, NY 10022
Phone (646) 754-2700

Other practice location 1

90 John St
Suite 633
New York, NY 10038-3202
Phone (646) 442-3925

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mburrell464962@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120618000151 NY Practitioner - Clinical Social Worker 3274797527 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R055306NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Aug 30, 2021 Accepting new patients
MB Clinicians Clinical Current Accepting new patients
New York University CurrentSince Aug 30, 2021 Accepting new patients

Locations

159 E 53rd St
Fl 4
New York, NY 10022
Phone (646) 754-1561

75 Maiden Ln
Ste 216
New York, NY 10038
Phone (646) 442-3925

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: mburrell464962@nyumc.direct-ci.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1174545156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 EAST 53RD STREET",
            "address_2": "4TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10022",
            "telephone_number": "646-754-2700",
            "fax_number": "646-754-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 EAST 53RD STREET",
            "address_2": "4TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10022",
            "telephone_number": "646-754-2700",
            "fax_number": "646-754-9803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 John St",
            "address_2": "Suite 633",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100383202",
            "country_code": "US",
            "telephone_number": "646-442-3925",
            "fax_number": "646-442-3924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURRELL",
        "first_name": "MICHELE",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R055306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mburrell464962@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "159 East 53rd Street",
            "address_2": "4th Floor",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.