Ellice Jane Berson, LCSW is a
Social Worker - Clinical based in Bronx, New York. Ellice Jane Berson is licensed to practice in New York (license number R025852-1) and her current practice location is
910 E 172nd St, Bronx, New York. She can be reached at her office (for appointments etc.) via phone at
(347) 767-2200.
NPI number for Ellice Jane Berson is 1871937110 and her current mailing address is 910 E 172nd St, Bronx, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871937110.
Healthcare Provider's Profile
Full Name | Ellice Jane Berson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 910 E 172nd St, Bronx, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871937110
- Provider Enumeration Date: 04/17/2013
- Last Update Date: 01/03/2020
Medical Identifiers
Medical identifiers for Ellice Jane Berson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871937110 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 025852 (New York) | Secondary |
1041C0700X | Social Worker - Clinical | R025852-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ellice Jane Berson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ellice Jane Berson, LCSW 910 E 172nd St, Bronx, NY 10460-5802 Ph: (347) 767-2200 | Ellice Jane Berson, LCSW 910 E 172nd St, Bronx, NY 10460-5802 Ph: (347) 767-2200 |
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