NPI Code Detail JSON Logo

1538537964 NPI number — RACHEL ALICE BURKE LCSW

NPI Number: 1538537964
Health Care Provider/Practitioner: RACHEL ALICE BURKE LCSW

Information about “1538537964” NPI (RACHEL ALICE BURKE LCSW) exists in 1538537964 in HTML format HTML  |  1538537964 in plain Text format TXT  |  1538537964 in PDF (Portable Document Format) PDF  |  1538537964 in an XML format XML  formats.

NPI Number : 1538537964 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538537964",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BURKE",
    "FirstName": "RACHEL",
    "MiddleName": "ALICE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WILLARD",
    "OtherFirstName": "RACHEL",
    "OtherMiddleName": "ALICE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "36 E TWOHIG AVE STE 600",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN ANGELO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76903-6486",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "325-944-2561",
    "MailingAddressFaxNumber": "325-939-2019",
    "FirstLinePracticeLocationAddress": "1106 W QUAY AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ARTESIA",
    "PracticeLocationAddressStateName": "NM",
    "PracticeLocationAddressPostalCode": "88210-1826",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "325-944-2561",
    "PracticeLocationAddressFaxNumber": "325-939-2019",
    "EnumerationDate": "09/02/2015",
    "LastUpdateDate": "07/25/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": "M-09196",
          "LicenseNumberStateCode": "NM",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YS0200X",
          "TaxonomyName": "School Counselor",
          "LicenseNumber": "M-09196",
          "LicenseNumberStateCode": "NM",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "SWB-2022-0993",
          "LicenseNumberStateCode": "NM",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.