Provider Demographics
NPI:1710026968
Name:BURKO, ADA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ADA
Middle Name:
Last Name:BURKO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3922 WILDA AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-4927
Mailing Address - Country:US
Mailing Address - Phone:510-985-1657
Mailing Address - Fax:
Practice Address - Street 1:828 SAN PABLO AVE
Practice Address - Street 2:104
Practice Address - City:ALBANY
Practice Address - State:CA
Practice Address - Zip Code:94706-1567
Practice Address - Country:US
Practice Address - Phone:510-558-7800
Practice Address - Fax:510-558-7803
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS223361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical