Marissa Burke

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10634 Issued in CT

Practice address

51 Meadow Brook Dr
Meriden, CT 06450-2576

Phone

(203) 671-6347

NPI assigned

Jun 4, 2019

Last updated

Oct 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Marissa Parker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: marissa.burke@xdr.hhchealthdirect.org

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1831757970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 MEADOW BROOK DR",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064502576",
            "telephone_number": "203-671-6347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 MEADOW BROOK DR",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064502576",
            "telephone_number": "203-671-6347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "MARISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "PARKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kevin Buonanni
• Peter Burch
• Tiana Burdick, LCSW
• Suzanne Burgess, RN
• Kathleen Burk, M.S., CCC-SLP
• Michael Anthony Burke, LADC, LMSW, CCDP-D,
• Brandon Burns
• Mark S Burwick, DDS
• Amanda Butkiewicz, PHARM. D
• Stacy Nadeen Butler, DDS

• Clinical Social Worker in Meriden, CT
• Providers in Meriden, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.