Active NPI
Jessica Lynn Burke, LSW
- Social Worker
- Tunkhannock, PA
National Provider Identifier
1588095350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW130915
- Practice address
- 70 Hollow Crest Rd
Tunkhannock, PA 18657-9507 - Phone
- (570) 240-4774
- Fax
- (570) 836-6888
- NPI assigned
- Dec 4, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW130915 | PA | Primary |
Addresses
Primary practice location
70 Hollow Crest Rd
Tunkhannock, PA 18657-9507
Mailing address
1 Kim Ave Ste 1
Tunkhannock, PA 18657-9101
Phone (570) 240-4774
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Burke Center, Inc. | Current | Accepting new patients | |
| Danubio & Associates Counseling Services, LLC | Past | Accepting new patients |
Locations
70 Hollow Crest Rd
Tunkhannock, PA 18657
Phone (570) 240-4774
1 Kim Ave
Ste 1
Tunkhannock, PA 18657
Phone (570) 240-4774
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tunkhannock, PA
- NPI 1043683055
-
- Clinical Social Worker
- Easton, PA
- NPI 1932684057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1588095350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 KIM AVE STE 1",
"city": "TUNKHANNOCK",
"state": "PA",
"postal_code": "186579101",
"telephone_number": "570-240-4774",
"fax_number": "570-836-6888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 HOLLOW CREST RD",
"city": "TUNKHANNOCK",
"state": "PA",
"postal_code": "186579507",
"telephone_number": "570-240-4774",
"fax_number": "570-836-6888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "JESSICA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-04",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW130915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tunkhannock, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.