Crystal E Burke, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904004835 Issued in VA

Practice address

Hwy 63 North
Clinic Street
St. Paul, VA 24283

Phone

(276) 762-0770

Fax

(276) 762-0678

NPI assigned

Jan 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. Charles Health Council IncGroup PAC ID 0244124584, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• St. Charles Health Council Inc

  dba Thompson Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Vansant, VA
  • NPI 1801013354
  Medicare reassignment Care Compare group NPD
• St Charles Health Council Inc

  dba Coeburn Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Coeburn, VA
  • NPI 1942322003
  NPD
• St. Charles Health Council Inc

  dba St. Charles Community Health Center

  • Federally Qualified Health Center (FQHC)
  • St. Charles, VA
  • NPI 1144342270
  NPD

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891847489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 900",
            "city": "SAINT PAUL",
            "state": "VA",
            "postal_code": "242830900",
            "telephone_number": "276-762-0770",
            "fax_number": "276-762-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 63 NORTH",
            "address_2": "CLINIC STREET",
            "city": "ST. PAUL",
            "state": "VA",
            "postal_code": "24283",
            "telephone_number": "276-762-0770",
            "fax_number": "276-762-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "CRYSTAL",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beacon of Life Ambulance Service
• Virginia Caroline Boardwine, NP
• Candice M Bolling, P.A.-C
• Anita Renee Davidson Coe, FNP-C
• Couch Home Medical
• Ernie's Drug, Inc.
• Dara Nicole Francis, PHARM. D
• James A Gross, RPH

• Clinical Social Worker in Saint Paul, VA
• Providers in Saint Paul, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.