| Ellen Berk | |
|
7400 E Arapahoe Rd #202 Centennial CO 80112-1279 | |
| (303) 796-7908 | |
| (303) 796-7115 |
| Full Name | Ellen Berk |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7400 E Arapahoe Rd, Centennial, Colorado |
| Authorized Official Name and Position | Ellen Berk (DIRECTOR) |
| Authorized Official Contact | 3037967908 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Berk 7400 E Arapahoe Rd #202 Centennial CO 80112-1279 Ph: (303) 796-7908 | Ellen Berk 7400 E Arapahoe Rd #202 Centennial CO 80112-1279 Ph: (303) 796-7908 |
| NPI Number | 1861727760 |
|---|---|
| Provider Enumeration Date | 10/09/2009 |
| Last Update Date | 10/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861727760 | NPI | - | NPPES |
| 07011547 | Medicaid | CO | |
| 991154 | Other | CO | LCSW LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 991154 (Colorado) | Primary |
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