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NPI Code Detail

MEDICARE: CAROLYN ANN BURKE LCSW

MEDICARE: CAROLYN ANN BURKE 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
11041C0700XClinical Social Worker34003261AIN

General Provider Information

NPI Number : 1477707206
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLYN ANN BURKE LCSW
Provider Business Mailing Address
First Line : 1485 M 139
Second Line :
City : BENTON HARBOR
State : MI
Zip : 49022-5711
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1485 M 139
Second Line :
City : BENTON HARBOR
State : MI
Zip : 49022-5711
Country : US
Telephone Number : 269-925-0585
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2008
Last Update Date : 03/17/2026

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Directions to “ CAROLYN ANN BURKE LCSW” Practice Location

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