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NPI Code Detail

MEDICARE: ALICEIA J BURKE

MEDICARE: ALICEIA J BURKE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCSW2121213MA

General Provider Information

NPI Number : 1477254787
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICEIA J BURKE
Provider Business Mailing Address
First Line : 10 COUNTRY HOLLOW LN
Second Line :
City : HAVERHILL
State : MA
Zip : 01832-1250
Country : US
Telephone Number : 978-758-7512
Fax Number :
Provider Business Practice Location Address
First Line : 10 COUNTRY HOLLOW LN
Second Line :
City : HAVERHILL
State : MA
Zip : 01832-1250
Country : US
Telephone Number : 978-758-7512
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2023
Last Update Date : 02/11/2026

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