Individual provider Active NPI

Jeffrey Michael Burke, LCSW

  • Clinical Social Worker
  • Albany, NY
National Provider Identifier
1811414733
Registry record updated Aug 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
084622 Issued in NY
Practice address
60 Academy Rd
Albany, NY 12208-3103
Phone
(518) 292-5496
Fax
(518) 694-5019
NPI assigned
Aug 23, 2017
Last updated
Aug 23, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 084622 NY Primary

Addresses

Primary practice location

60 Academy Rd
Albany, NY 12208-3103

Mailing address

60 Academy Rd
Albany, NY 12208-3103
Phone (518) 292-5496

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
I20200110002313 NY Practitioner - Clinical Social Worker 9436584984 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
084622NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Parsons Child and Family Center CurrentSince Dec 15, 2019 Accepting new patients

Locations

60 Academy Rd
Albany, NY 12208
Phone (518) 813-0317

401 New Karner Rd
Colonie, NY 12205
Phone (518) 456-3614

375 Bay Rd
Queensbury, NY 12804
Phone (518) 741-0043

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1811414733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 ACADEMY RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083103",
            "telephone_number": "518-292-5496",
            "fax_number": "518-694-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 ACADEMY RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083103",
            "telephone_number": "518-292-5496",
            "fax_number": "518-694-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.