| Alice J Berlin Lcsw-c Llc | |
|
2431 Bear Den Rd Frederick MD 21701-9321 | |
| (301) 676-0487 | |
| Not Available |
| Full Name | Alice J Berlin Lcsw-c Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2431 Bear Den Rd, Frederick, Maryland |
| Authorized Official Name and Position | Jennifer Sunday (OFFICE MANAGER) |
| Authorized Official Contact | 3017882427 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alice J Berlin Lcsw-c Llc 2431 Bear Den Rd Frederick MD 21701-9321 Ph: (301) 676-0487 | Alice J Berlin Lcsw-c Llc 2431 Bear Den Rd Frederick MD 21701-9321 Ph: (301) 676-0487 |
| NPI Number | 1053074013 |
|---|---|
| Provider Enumeration Date | 10/18/2021 |
| Last Update Date | 10/18/2021 |
| Certification Date | 10/18/2021 |
| Medicare PECOS PAC ID | 6406248186 |
|---|---|
| Medicare Enrollment ID | O20220111000020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053074013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Alice J. Berlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154326551 PECOS PAC ID: 8527245547 Enrollment ID: I20110901000046 |
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