Mr Otto Michael Berk, LCSW | |
6762 Burns St, Forest Hills, NY 11375-3537 | |
(718) 544-5522 | |
(718) 544-2345 |
Full Name | Mr Otto Michael Berk |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 6762 Burns St, Forest Hills, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225033525 | NPI | - | NPPES |
182780P | Other | NY | HIP NY STATE |
2445244 | Other | NY | UNITED HEALTH CARE |
02480211 | Medicaid | NY | |
2826599000 | Other | NY | AMERIHEALTH MULTIPLAN |
558471000 | Other | NY | MAGELLAN |
1050730 | Other | NY | BEACON HEALTH |
518370 | Other | NY | NYSHIP EMPIRE PLAN |
N797C1 | Other | NY | BCBS |
10208395 | Other | NY | AMERIGROUP |
518370 | Other | NY | VALUE OPTIONS |
7527622 | Other | NY | AETNA |
248062964 | Other | NY | UNITED BEHAVIORAL HEALTH |
307450 | Other | NY | HEALTHNET MHN |
P3462946 | Other | NY | OXFORD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | R-042031 (New York) | Primary |
Entity Name | Great Mind Counseling And Wellness Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437668985 PECOS PAC ID: 9830459502 Enrollment ID: O20180129002329 |
Mailing Address | Practice Location Address |
---|---|
Mr Otto Michael Berk, LCSW 6762 Burns St, Forest Hills, NY 11375-3537 Ph: (718) 544-5522 | Mr Otto Michael Berk, LCSW 6762 Burns St, Forest Hills, NY 11375-3537 Ph: (718) 544-5522 |
Typhani Carter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10420 Queens Blvd, 17w, Forest Hills, NY 11375 Phone: 347-249-8961 | |
Ms. Stella Mizrakhi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11045 Queens Blvd Apt 314, Forest Hills, NY 11375 Phone: 347-439-4105 | |
Akiva Perlman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6960 108th St, Forest Hills, NY 11375 Phone: 347-342-8073 | |
Miss Samantha Torch, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10470 Queens Blvd Ste 200, Forest Hills, NY 11375 Phone: 718-275-6010 | |
Ms. Nancy Pascal, MSWI Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10470 Queens Blvd, Floor 2, Forest Hills, NY 11375 Phone: 718-275-6010 | |
Darian Gier, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 10470 Queens Blvd Ste 200, Forest Hills, NY 11375 Phone: 718-275-6010 | |
Dr. Yvette Mardis, PH.D., LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11021 73rd Rd, Suite 1j, Forest Hills, NY 11375 Phone: 718-699-8838 Fax: 718-699-8838 |