Provider Demographics
NPI:1700151750
Name:BURKAT, SHERI ANGELA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SHERI
Middle Name:ANGELA
Last Name:BURKAT
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 1:17 LOWRY AVE
Mailing Address - Street 2:
Mailing Address - City:WHARTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07885-2033
Mailing Address - Country:US
Mailing Address - Phone:862-244-7337
Mailing Address - Fax:
Practice Address - Street 1:17 LOWRY AVE
Practice Address - Street 2:
Practice Address - City:WHARTON
Practice Address - State:NJ
Practice Address - Zip Code:07885-2033
Practice Address - Country:US
Practice Address - Phone:862-244-7337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC57344001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical