MEDICARE: CATINA BURKETT 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
1	1041C0700X	Clinical Social Worker	090887	NY
2	1041C0700X	Clinical Social Worker	44SC05923200	NJ

General Provider Information

NPI Number	:	1265864946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATINA BURKETT LCSW

Provider Business Mailing Address
First Line	:	1156 ALEX DR
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-5703
Country	:	US
Telephone Number	:	201-814-2759
Fax Number	:	856-372-4653

Provider Business Practice Location Address
First Line	:	285 E MAIN ST
Second Line	:
City	:	SOMERVILLE
State	:	NJ
Zip	:	08876-3005
Country	:	US
Telephone Number	:	908-707-0212
Fax Number	:	856-372-4653

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2013
Last Update Date	:	06/07/2026

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Directions to “ CATINA BURKETT LCSW” Practice Location

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