Stacey Laura Burke

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW005412 Issued in GA

Practice address

4985 Lower Roswell Rd
BLDG 200
Marietta, GA 30068-4337

Phone

(770) 598-0132

NPI assigned

Sep 21, 2015

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

• Stacey Laura Warshowsky Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1861861809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4985 LOWER ROSWELL RD",
            "address_2": "BLDG 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684337",
            "telephone_number": "770-598-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4985 LOWER ROSWELL RD",
            "address_2": "BLDG 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684337",
            "telephone_number": "770-598-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "STACEY",
        "middle_name": "LAURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "WARSHOWSKY",
            "middle_name": "LAURA",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Bruce Brooksbank Burdeshaw, RPH
• Brittany Zoe Burdett, CSFA
• Andrea Burgio-Murphy, PHD
• Alison Wilson Burk, PT, DPT
• Jennifer Leigh Burke, DMD
• Noelle Ann Celis Burkholder, NP
• Anita Suzette Burleson
• Evelyn Fagan Burley
• Holly Elizabeth Burman, WHNP
• Keair Shawan Burnett-Hindsman

• Clinical Social Worker in Marietta, GA
• Providers in Marietta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.