Search › Massachusetts › 1041C0700X
Timothy Burke, LICSW, LADC1
NPI 1629361159 · on the registry since 2011 · sole proprietor
Practice
- Address
- 36 Lane Park
Brighton
Boston, MA 02135 - Phone
- (617) 792-7874
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-02-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts