Individual provider Active NPI

Darlene C Burke, LCSW

  • Clinical Social Worker
  • Sugar Loaf, NY
National Provider Identifier
1700866878
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R036531-01 Issued in NY
Practice address
1357 Kings Highway
Sugar Loaf, NY 10981-0005
Phone
(845) 469-6266
Fax
(845) 469-6266
NPI assigned
Jan 17, 2006
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 445C05406100 NJ
Clinical Social Worker 1041C0700X R036531 NY
Clinical Social Worker 1041C0700X R036531-01 NY Primary

Addresses

Primary practice location

1357 Kings Highway
Sugar Loaf, NY 10981-0005

Mailing address

1357 Kings Highway, PO Box 5
Sugar Loaf, NY 10981-0005
Phone (845) 469-6266

Other practice location 1

645 Route 517
Sussex, NJ 07461-4828
Phone (973) 765-6266

Other identifiers 1

IdentifierTypeStateIssuer
02025845MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20111229000644 NY Practitioner - Clinical Social Worker 5193991867 Practice locations: Sugar Loaf, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1357 Kings Hwy
Sugar Loaf, NY 10981-0005
Phone (845) 469-6266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
445C05406100NJMDClinical Social Worker
R036531NYMDClinical Social Worker
R036531-01NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1700866878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1357 KINGS HIGHWAY, PO BOX 5",
            "city": "SUGAR LOAF",
            "state": "NY",
            "postal_code": "109810005",
            "telephone_number": "845-469-6266",
            "fax_number": "845-469-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 KINGS HIGHWAY",
            "city": "SUGAR LOAF",
            "state": "NY",
            "postal_code": "109810005",
            "telephone_number": "845-469-6266",
            "fax_number": "845-469-6266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "645 Route 517",
            "address_purpose": "LOCATION",
            "city": "Sussex",
            "state": "NJ",
            "postal_code": "074614828",
            "country_code": "US",
            "telephone_number": "973-765-6266",
            "fax_number": "973-765-6266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKE",
        "first_name": "DARLENE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "445C05406100",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R036531",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R036531-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02025845",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Loaf, NY

Sources for this page

Verify at the official NPI Registry.