Active NPI
Kathryn Burke Imirie, LCSWC
- Clinical Social Worker
- Emmitsburg, MD
National Provider Identifier
1770516858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 09866
- Practice address
- 10926 Simmons Rd
Emmitsburg, MD 21727-8400 - Phone
- (301) 471-2585
- NPI assigned
- Jul 9, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 09866 | MD | Primary |
Addresses
Primary practice location
10926 Simmons Rd
Emmitsburg, MD 21727-8400
Mailing address
17041 Bullfrog Rd
Emmitsburg, MD 21727-8732
Phone (301) 471-2585
Other practice location 1
4540 Mack Ave Ste B
Frederick, MD 21703-3303
Phone (301) 733-0330 ext. 410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 698800800 | Medicaid | MD |
Other names 1
- Kathryn Jean Burke
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Heights Counseling Services, LLC | Clinical | Current | Accepting new patients |
Locations
10926 Simmons Rd
Emmitsburg, MD 21727
Phone (301) 471-2585
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662768000000",
"number": "1770516858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17041 BULLFROG RD",
"city": "EMMITSBURG",
"state": "MD",
"postal_code": "217278732",
"telephone_number": "301-471-2585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10926 SIMMONS RD",
"city": "EMMITSBURG",
"state": "MD",
"postal_code": "217278400",
"telephone_number": "301-471-2585"
}
],
"practiceLocations": [
{
"address_1": "4540 Mack Ave Ste B",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217033303",
"country_code": "US",
"telephone_number": "301-733-0330 x410",
"fax_number": "301-733-4038",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IMIRIE",
"first_name": "KATHRYN",
"middle_name": "BURKE",
"name_prefix": "Mrs.",
"credential": "LCSWC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2022-09-10",
"certification_date": "2022-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "09866",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "698800800",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "BURKE",
"middle_name": "JEAN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Emmitsburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.