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MS. DARLENE C BURKE LCSW
NPI 1700866878
Social Worker - Clinical in Sugar Loaf, NY

Active since January 17, 2006PECOS EnrolledAccepts Medicare Assignment
1357 KINGS HIGHWAY, SUGAR LOAF, NY 10981(845) 469-6266(845) 469-6266 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2020, Jul 11, 2018 (2 updates tracked since 2018).

About Ms. Darlene C Burke Lcsw NPPES

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

MS. DARLENE C BURKE LCSW (NPI 1700866878) is an individual clinical provider in Sugar Loaf, New York, licensed in New York (R036531-01) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sussex, and is a graduate of Fordham University School Of Medicine (1987).

NPPES Registry Identity

NPI1700866878
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. DARLENE C BURKECredential: LCSW
Location Address1357 KINGS HIGHWAYSugar Loaf, NY 10981-0005
Mailing Address1357 Kings Highway, Po Box 5Sugar Loaf, NY 10981-0005 · (845) 469-6266 · Fax (845) 469-6266
Phone(845) 469-6266
Fax(845) 469-6266
Sole ProprietorYes
Medical School CMSFordham University School Of MedicineGraduated 1987
Enumeration DateJanuary 17, 2006
Last NPPES UpdateJanuary 24, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2024
✔ NPI 1700866878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NY · R036531-01✔ Licensed in NJ · 445C05406100✔ Licensed in NY · R036531
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.
1357 KINGS HIGHWAY, Sugar Loaf, NY 10981
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Secondary Practice Location 1

Location 1645 Route 517Sussex, NJ 07461-4828 · Phone (973) 765-6266 · Fax (973) 765-6266

Other Identifiers 1

Medicaid02025845NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Darlene C Burke Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193991867
PECOS Enrollment IDI20111229000644
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10981 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 $61.88 – $187.05
Typical copayment $0.00 (range $15.47 – $46.76)
Most-billed visit code NA
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
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.

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 Darlene Burke's NPI number?

The NPI number for Darlene Burke is 1700866878. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is Darlene Burke located?

Darlene Burke practices at 1357 Kings Highway, Sugar Loaf, NY 10981. The listed phone number is (845) 469-6266.

What is Darlene Burke's specialty?

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

Is Darlene Burke enrolled in Medicare?

Yes. Darlene Burke is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Darlene Burke accept?

Health plans from Providence Health Plan list Darlene Burke as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Darlene Burke was last updated on January 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.