Active NPI
Violet Burke, LCSW
- Clinical Social Worker
- Fort Pierce, FL
National Provider Identifier
1972929834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW15567
- Practice address
- 494 Maple Ave
Fort Pierce, FL 34982-5949 - Phone
- (772) 266-7639
- NPI assigned
- Mar 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | SW15567 | FL | Primary |
Addresses
Primary practice location
494 Maple Ave
Fort Pierce, FL 34982-5949
Mailing address
1545 9TH St SW
Vero Beach, FL 32962-4312
Phone (772) 257-8224
Other practice location 1
4675 28th Ct
Vero Beach, FL 32967-1329
Phone (772) 257-8224
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251S00000X- | Other | FL | COMMUNITY/BEHAVIORAL HEALTH |
| 650789152 | Other | FL | COMMUNITY/BEHAVIORAL HEALTH |
| SW15567 | Other | FL | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW15567 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568592000000",
"number": "1972929834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 9TH ST SW",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329624312",
"telephone_number": "772-257-8224",
"fax_number": "772-213-3157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "494 MAPLE AVE",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349825949",
"telephone_number": "772-266-7639"
}
],
"practiceLocations": [
{
"address_1": "4675 28th Ct",
"address_purpose": "LOCATION",
"city": "Vero Beach",
"state": "FL",
"postal_code": "329671329",
"country_code": "US",
"telephone_number": "772-257-8224",
"fax_number": "772-213-3157",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURKE",
"first_name": "VIOLET",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-14",
"last_updated": "2019-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW15567",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY/BEHAVIORAL HEALTH",
"identifier": "251S00000X-",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY/BEHAVIORAL HEALTH",
"identifier": "650789152",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "SW15567",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.