Patrick J Burke, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

256763 Issued in KY

Practice address

130 Joe B Hall Ave
Shepherdsville, KY 40165-6010

Phone

(502) 955-5447

NPI assigned

May 29, 2020

Last updated

Dec 9, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Twin Lakes Counseling Services LLCGroup PAC ID 4082948070, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: patrickburke@tdh.allscriptsdirect.net

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.

• Twin Lakes Counseling Services, LLC

  • Professional Counselor
  • Leitchfield, KY
  • NPI 1508100447
  Medicare reassignment Care Compare group NPD
• Breath of Grace Wellness

  • Professional Counselor
  • Columbia, KY
  • NPI 1003550575
  Medicare reassignment NPD
• Seven Counties Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Louisville, KY
  • NPI 1598793671

  Clinical

  Medicare reassignment NPD
• TLBH Wellness

  dba A.I.M Wellness

  • Rural Health Clinic/Center
  • Leitchfield, KY
  • NPI 1518553874
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, KY

  Medicare reassignment NPD
• Narrow Path PSC

  • Clinical Social Worker
  • Campbellsville, KY
  • NPI 1922706886
  NPD Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD
• Ataraxia Integrated Medicine and Wellness Corporation

  • Rural Health Clinic/Center
  • Leitchfield, KY
  • NPI 1578246229

  Clinical

  NPD (past)

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1356965024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 LINN STATION RD STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233842",
            "telephone_number": "502-589-8600",
            "fax_number": "502-921-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 JOE B HALL AVE",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401656010",
            "telephone_number": "502-955-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "PATRICK",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-29",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "256763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bullitt County Family Care Center, PLLC
• Bullitt County Fiscal Court (Bullitt Co. EMS)
• Bullitt County Foot and Ankle Center
• Bullitt County Health Department
• Bullitt County Sleep Disordrs Lab
• Emily Paige Burns
• Rebecca Marie Burress, PHARMD
• C K Dental, Inc. (North Bullitt Family Dental)
• C&K Holdings (BrightStar)
• Luyen Van Cao, MD

• Clinical Social Worker in Shepherdsville, KY
• Providers in Shepherdsville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.