| Carolyn Ann Burke, LCSW | |
|
1485 M 139, Benton Harbor, MI 49022-5711 | |
| (269) 925-0585 | |
| Not Available |
| Full Name | Carolyn Ann Burke |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1485 M 139, Benton Harbor, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477707206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34003261A (Indiana) | Primary |
| Entity Name | Intercare Community Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326058512 PECOS PAC ID: 9537061254 Enrollment ID: O20040223000150 |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn Ann Burke, LCSW 1485 M 139, Benton Harbor, MI 49022-5711 Ph: () - | Carolyn Ann Burke, LCSW 1485 M 139, Benton Harbor, MI 49022-5711 Ph: (269) 925-0585 |
Josephine Carmel Cassar, LMSW, SSW, LMFT Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1850 Colfax Ave, Benton Harbor, MI 49022 Phone: 269-926-6199 Fax: 269-926-6780 | |
Siobhan Williams, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1613 M 139, Benton Harbor, MI 49022 Phone: 269-925-0585 | |
Anna Marie Cooper, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1613 M 139, Benton Harbor, MI 49022 Phone: 269-925-0585 Fax: 269-927-1326 | |
Mrs. Shelly Perry, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1850 Colfax Ave, Benton Harbor, MI 49022 Phone: 269-926-6199 Fax: 269-926-6780 | |
Mr. William R Helbley, LBSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1485 S M 139, Benton Harbor, MI 49022 Phone: 269-925-0585 | |
Ms. Amber Kay Fergison, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1485 M 139, Benton Harbor, MI 49022 Phone: 269-925-0585 Fax: 269-927-1326 | |
Tiara M. Zimmerman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1613 M 139, Benton Harbor, MI 49022 Phone: 269-925-0585 Fax: 269-927-1326 |