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THERESA BURAK
NPI 1639966229
Social Worker - Clinical in Middletown, CT

Active since April 24, 2025PECOS Enrolled
1250 SILVER ST, MIDDLETOWN, CT 06457(860) 852-1019 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Theresa Burak NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA BURAK (NPI 1639966229) is an individual clinical provider in Middletown, Connecticut, licensed in Connecticut (15087) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639966229
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTHERESA BURAK
Location Address1250 SILVER STMiddletown, CT 06457-3946
Mailing Address1250 Silver StMiddletown, CT 06457-3946
Phone(860) 852-1019
Sole ProprietorNo
Enumeration DateApril 24, 2025
NPPES CertifiedApril 24, 2025
✔ NPI 1639966229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CT · 15087
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1250 SILVER ST, Middletown, CT 06457
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa Burak is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Theresa Burak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rushford Center, Inc.
8.8 mi
Psychologist
883 PADDOCK AVENUE
Meriden, CT 06450
  • Reassigned Medicare billing, Connecticut enrollment
  • 106 clinicians in this Medicare group
NPI 1275541005 (203) 630-5220

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06457 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JAMIE LYNN BIRCHALL AS DARC
Counselor (Addiction (Substance Use Disorder))
1250 SILVER ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 346-0300
MRS. NICOLE MARIE ALEXOPOULOS MSAP
Counselor (Addiction (Substance Use Disorder))
1250 SILVER ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 972-1106
MS. LISA LYNN CAREY MFT
Counselor (Addiction (Substance Use Disorder))
1250 SILVER ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 346-0300
MONIQUE T MILEY APRN
Nurse Practitioner (Psychiatric/Mental Health)
1250 SILVER ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 346-0300
DR. TRICIA A. MACHINSKI M.D.
Student in an Organized Health Care Education/Training Program
1250 SILVER ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 346-0300
ERIN R ALEX LCSW
Social Worker (Clinical)
1250 SILVER ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 346-0300
RUSHFORD
Substance Abuse Rehabilitation Facility
1250 SILVER ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 346-0300
MS. SUSAN ALESSI DESOUSA BS MSW
Social Worker (Clinical)
1250 SILVER ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (086) 346-0300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Burak's NPI number?

The NPI number for Theresa Burak is 1639966229. It was assigned to this individual provider in the NPPES registry on April 24, 2025.

Where is Theresa Burak located?

Theresa Burak practices at 1250 Silver St, Middletown, CT 06457. The listed phone number is (860) 852-1019.

What is Theresa Burak's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Theresa Burak enrolled in Medicare?

Yes. Theresa Burak is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Theresa Burak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Burak reassigns Medicare benefits to Rushford Center, Inc. (Meriden, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theresa Burak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Theresa Burak was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.