Monique Tremblay Burke, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1027036 Issued in MA

Practice address

16 Stonehedge Rd
Windham, NH 03087-1251

Phone

(603) 898-5308

NPI assigned

Oct 30, 2018

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Oct 30, 2018.

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1962979740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 STONEHEDGE RD",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030871251",
            "telephone_number": "603-898-5308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 STONEHEDGE RD",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030871251",
            "telephone_number": "603-898-5308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "MONIQUE",
        "middle_name": "TREMBLAY",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1027036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy J Branca, BA
• Nicholas Joseph Brigham, OT
• Samantha Broadhead, PH.D.
• Kimberly Ann Brown, PA-C
• Mackenzie Emily Bryant, FNP-C
• Megan Elizabeth Bushway
• Paige Marie Butler
• Buzz ABA LLC
• Thomas James Byrne, DPT
• Amanda Marie Cain, MS, OTR/L

• All providers in Windham, NH
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.