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NPI Code Detail

MEDICARE: MS. LINDA LEE BURKE MSW, LCSW

MEDICARE:  MS. LINDA LEE BURKE  MSW, LCSW
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
1104100000XSocial WorkerSW7203FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1Z081XZOTHERFLMEDICARE PROVIDER NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013993138
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDA LEE BURKE MSW, LCSW
Provider Business Mailing Address
First Line : PO BOX 1059
Second Line :
City : ONECO
State : FL
Zip : 34264-1059
Country : US
Telephone Number : 941-962-6878
Fax Number :
Provider Business Practice Location Address
First Line : 115 RED FOX CT UNIT 102
Second Line :
City : BRADENTON
State : FL
Zip : 34212-7022
Country : US
Telephone Number : 941-962-6878
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2005
Last Update Date : 06/11/2024

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Directions to “ MS. LINDA LEE BURKE MSW, LCSW” Practice Location

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