Provider Demographics
NPI:1598915001
Name:BURKE, JESSI ALLISON (MSW/CSW)
Entity Type:Individual
Prefix:MISS
First Name:JESSI
Middle Name:ALLISON
Last Name:BURKE
Suffix:
Gender:F
Credentials:MSW/CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3820 WINTHROP DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40514-1757
Mailing Address - Country:US
Mailing Address - Phone:859-552-3833
Mailing Address - Fax:
Practice Address - Street 1:3820 WINTHROP DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40514-1757
Practice Address - Country:US
Practice Address - Phone:859-552-3833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-22
Last Update Date:2008-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator