Individual provider Active NPI

Dianne Elizabeth Burke, L.C.S.W.

  • Clinical Social Worker
  • Clifton Park, NY
National Provider Identifier
1225280191
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
040391-1R Issued in NY
Practice address
41 Werner Rd
Clifton Park, NY 12065-3409
Phone
(518) 664-5066
Fax
(518) 664-5728
NPI assigned
Oct 22, 2008
Last updated
Oct 22, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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 040391-1R NY Primary

Addresses

Primary practice location

41 Werner Rd
Clifton Park, NY 12065-3409

Mailing address

47 Lewis St
Ballston Spa, NY 12020-1925
Phone (518) 664-5066

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

LicenseStateTypeSpecialty
040391-1RNYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Helping Hands Past Accepting new patients
Helping Hands School Past Accepting new patients

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, 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": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1225280191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 LEWIS ST",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120201925",
            "telephone_number": "518-664-5066",
            "fax_number": "518-664-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 WERNER RD",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653409",
            "telephone_number": "518-664-5066",
            "fax_number": "518-664-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "DIANNE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "040391-1R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.