Crystal E Burke, LCSW
Individual provider Active NPI Clinical Social Worker · St. Paul, VA
NPI 1891847489 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1891847489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0904004835 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St. Charles Health Council Inc
Practice addresses (Care Compare)
1446 Dr Thomas Walker Rd
Ewing, VA 24248-8307
Phone (276) 445-4826
276 Fieldstone Dr
Jonesville, VA 24263-1215
Phone (276) 546-3001
536 E Main St
Appalachia, VA 24216-1500
Phone (276) 565-2760
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130410000637 | VA | Practitioner - Clinical Social Worker | 5799921094 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Charles Health Council Inc | Current | Accepting new patients | |
| St. Charles Health Council Inc | Current |
Accepting new patients | |
| St Charles Health Council Inc | Current |
Accepting new patients |
Locations
276 Fieldstone Dr
Jonesville, VA 24263
Phone (276) 546-3001
241 Monarch Rd
Saint Charles, VA 24282
Phone (276) 383-4428
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904004835 | VA | Yes |
Addresses
Primary practice location
Hwy 63 North
Clinic Street
St. Paul, VA 24283
Mailing address
PO Box 900
Saint Paul, VA 24283-0900
Phone (276) 762-0770
Other providers in St. Paul, VA
- Beacon of Life Ambulance Service
- Virginia Caroline Boardwine
- Candice M Bolling
- Anita Renee Davidson Coe
- Couch Home Medical
- Ernie'S Drug, Inc.
- Dara Nicole Francis
- James A Gross
All providers in St. Paul, VA · Clinical Social Worker in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.