Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Timothy Burke, LICSW, LADC1

Individual provider Clinical Social Worker · NPI 1629361159

Mr. Timothy Burke, LICSW, LADC1 is a Clinical Social Worker in Boston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2011
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

36 Lane Park Brighton
Boston, MA 02135-3118
Phone: (617) 792-7874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 110112 (MA)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1629361159
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW , LADC1
Sole proprietorYes
NPI enumeratedMay 17, 2011
Last updated in NPPESFebruary 27, 2023
Certification dateFebruary 23, 2023

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