Active NPI
Lisa Marie Burke, LICSW
- Clinical Social Worker
- Concord, MA
National Provider Identifier
1205083144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 115211
- Practice address
- 70 Junction Square Dr
Suite B
Concord, MA 01742-3049 - Phone
- (857) 600-1980
- NPI assigned
- Aug 22, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 214982 | MA | |
| Clinical Social Worker | 1041C0700X | 115211 | MA | Primary |
Addresses
Primary practice location
70 Junction Square Dr
Suite B
Concord, MA 01742-3049
Mailing address
70 Junction Square Dr
Suite B
Concord, MA 01742-3049
Phone (857) 600-1980
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 214982 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483920000000",
"number": "1205083144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 JUNCTION SQUARE DR",
"address_2": "SUITE B",
"city": "CONCORD",
"state": "MA",
"postal_code": "017423049",
"telephone_number": "857-600-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 JUNCTION SQUARE DR",
"address_2": "SUITE B",
"city": "CONCORD",
"state": "MA",
"postal_code": "017423049",
"telephone_number": "857-600-1980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-22",
"last_updated": "2017-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "214982",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "115211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.