Individual provider Active NPI

Gabriel M Burke, MSW, LISW-S

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1306420005
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2305054-SUPV Issued in OH
Practice address
1296 Franklin Ave Ste 201
Columbus, OH 43205-2298
Phone
(614) 219-9496
Fax
(614) 802-5249
NPI assigned
May 8, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X TPSW5669 FL
Clinical Social Worker 1041C0700X I.2305054-SUPV OH Primary

Addresses

Primary practice location

1296 Franklin Ave Ste 201
Columbus, OH 43205-2298

Mailing address

1296 Franklin Ave Ste 201
Columbus, OH 43205-2298
Phone (614) 219-9496

Other practice location 1

7901 4th St N Ste 300
St Petersburg, FL 33702-4399
Phone (614) 219-9496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250923004267 TX Practitioner - Clinical Social Worker 8224471552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TPSW5669FLMDClinical Social Worker
I.2305054-SUPVOHMDClinical Social Worker
117049TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jump the Broom LLC Clinical CurrentSince Dec 28, 2025 Accepting new patients
After the Storm Counseling LLC PastSince Mar 24, 2025 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1306420005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1296 FRANKLIN AVE STE 201",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052298",
            "telephone_number": "614-219-9496",
            "fax_number": "614-802-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1296 FRANKLIN AVE STE 201",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052298",
            "telephone_number": "614-219-9496",
            "fax_number": "614-802-5249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7901 4th St N Ste 300",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337024399",
            "country_code": "US",
            "telephone_number": "614-219-9496",
            "fax_number": "614-802-5249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKE",
        "first_name": "GABRIEL",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MSW, LISW-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-08",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "TPSW5669",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2305054-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.