Individual provider Active NPI

Karrieanne Burke, LMSW

  • Social Worker
  • Davenport, IA
National Provider Identifier
1922780444
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
120094 Issued in IA
Practice address
2195 E 53Rd St
Davenport, IA 52807-2705
Phone
(309) 797-7700
Fax
(563) 324-2437
NPI assigned
Aug 3, 2023
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 120094 IA Primary

Addresses

Primary practice location

2195 E 53Rd St
Davenport, IA 52807-2705

Mailing address

2195 E 53Rd St
Davenport, IA 52807-2705
Phone (309) 797-7700

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
120094IAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeview Community Mental Health Center Social Worker Past Accepting new patients
Bethany for Children & Families Social Worker PastSince Aug 13, 2023 Accepting new patients
Bethany for Children & Families Social Worker PastSince May 1, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1922780444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 E 53RD ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072705",
            "telephone_number": "309-797-7700",
            "fax_number": "563-324-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 E 53RD ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072705",
            "telephone_number": "309-797-7700",
            "fax_number": "563-324-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "KARRIEANNE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "120094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.