Ada Burko, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS22336 Issued in CA

Practice address

828 San Pablo Ave
104
Albany, CA 94706-1567

Phone

(510) 558-7800

Fax

(510) 558-7803

NPI assigned

Feb 5, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2016 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710026968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3922 WILDA AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946114927",
            "telephone_number": "510-985-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 SAN PABLO AVE",
            "address_2": "104",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061567",
            "telephone_number": "510-558-7800",
            "fax_number": "510-558-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKO",
        "first_name": "ADA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS22336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Britton, PPS
• Christopher Brown, D.O.
• Lisa Bruce, CPCP
• Lillie Brum, MFT 8571
• Mary Bunzel, NP
• Rebecca Burns
• Jenifer Butler, PHARMD
• Alexis Calcano
• California Sports Physical Therapy Centers Inc (Albany Physical Therapy)
• Amanda Beth Campbell, LMFT

• Clinical Social Worker in Albany, CA
• Providers in Albany, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.