Simone Burke-Cousins, LMSW

Individual provider Active NPI Social Worker · Newark, DE

NPI 1740969229 · NPPES record last updated Jul 13, 2023

Key facts

NPI
1740969229
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
Q3-0011261 (DE)
Practice address
7 La Rochelle CT
Newark, DE 19702-5537
Phone
(347) 549-6527
NPI assigned
Jul 13, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
Q3-0011261DEMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Q3-0011261 DE Yes

Addresses

Primary practice location

7 La Rochelle CT
Newark, DE 19702-5537

Mailing address

7 La Rochelle CT
Newark, DE 19702-5537

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 13, 2023.

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1740969229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 LA ROCHELLE CT",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 LA ROCHELLE CT",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025537",
            "telephone_number": "347-549-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE-COUSINS",
        "first_name": "SIMONE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DE",
            "license": "Q3-0011261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

All providers in Newark, DE · Social Worker in Delaware

Sources for this page

Verify at the official NPI Registry.