Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eliza Bourke

Individual provider Clinical Social Worker · NPI 1639997927

Eliza Bourke is a Clinical Social Worker in San Diego, California. Licensed in California and Oregon. Registered with an NPI since 2024.

Licensed in
CA, OR
In the registry since
2024
Specialties on file
3

Practice location Address checks out

1260 Morena Blvd Ste 2
San Diego, CA 92110-3889
Phone: (619) 398-3261
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence ASW130714 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence A15666 (OR)
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1639997927
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedSeptember 26, 2024
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025

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