Provider Demographics
NPI:1982730552
Name:BURKE, BARBARA (LCSW)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:BURKE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4906 RADFORD AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-3512
Mailing Address - Country:US
Mailing Address - Phone:804-354-1996
Mailing Address - Fax:804-354-5516
Practice Address - Street 1:4906 RADFORD AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-3512
Practice Address - Country:US
Practice Address - Phone:804-354-1996
Practice Address - Fax:804-354-5516
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0904001003101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA029972OtherVALUE OPTIONS PROV #
VA68653OtherCIGNA
VA861112647OtherUNITED BEHAVIORAL HEALTH
VA269810OtherCOMPYSCH
VA7854091OtherAETNA
VA303528OtherANTHEM
VA02545000OtherMAGELLAN MIS
VA145208OtherANTHEM
VA81982OtherOPTIMA BEHAVIORAL HEALTH