| Doctor Name: | MR. MICHAEL M BURKE |
| NPI Number: | 1558441527 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LICSW |
| License Number: | 113682 |
| Business Practice Address: | 165 Old Kings Hwy Orleans, MA - 02653 |
| Business Phone Number: | 5087175070 |
| Business Fax Number: | |
| Mailing Address: | 232 Bradford St, PROVINCETOWN |
| State: | MA |
| Postal Code: | 026571745 |
| Phone Number: | 5087175070 |
| Fax Number: | 5084874468 |
| NPI Enumeration Date: | 10/16/2006 |
| NPI Last Update Date: | 05/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 113682 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |