Individual provider Active NPI

Nancy Burke

  • Clinical Social Worker
  • East Hampton, NY
National Provider Identifier
1841533148
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0729296 Issued in NY
Practice address
287 Springs Fireplace Rd
East Hampton, NY 11937-4823
Phone
(631) 329-0373
NPI assigned
Apr 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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 0729296 NY Primary

Addresses

Primary practice location

287 Springs Fireplace Rd
East Hampton, NY 11937-4823

Mailing address

PO Box 1075
Shelter Island Heights, NY 11965-1075
Phone (917) 363-2176

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0729296NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Houses of Long Island, Inc. CurrentSince Apr 8, 2013 Accepting new patients
Hilltown Community Health Centers, Inc. PastSince Jan 1, 2024 Accepting new patients
Alanna a. Quinn PastSince Jul 24, 2022 Accepting new patients

Locations

287 Springs Fireplace Rd
East Hampton, NY 11937
Phone (631) 329-0373

220 Veterans Memorial Hwy
Hauppauge, NY 11788
Phone (631) 406-5518

222 Veterans Memorial Hwy
Hauppauge, NY 11788
Phone (631) 979-0922

Organizations & group practices 3

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": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1841533148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1075",
            "city": "SHELTER ISLAND HEIGHTS",
            "state": "NY",
            "postal_code": "119651075",
            "telephone_number": "917-363-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 SPRINGS FIREPLACE RD",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119374823",
            "telephone_number": "631-329-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "NANCY",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-04",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0729296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hampton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.