Active NPI
Julyette E Berry, LCSW-C
- Clinical Social Worker
- Bel Air, MD
National Provider Identifier
1043873532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 24677
- Practice address
- 1208 E Churchville Rd Ste 300
Bel Air, MD 21014 - Phone
- (301) 204-6199
- NPI assigned
- Apr 19, 2019
- Reactivated
- May 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 24677 | MD | Primary |
Addresses
Primary practice location
1208 E Churchville Rd Ste 300
Bel Air, MD 21014
Mailing address
6105 Arbor Street
Cheverly, MD 20785-3002
Phone (301) 204-6199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250514000366 | MD | Practitioner - Clinical Social Worker | 8123546124 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Safe Harbor Behavioral Care LLC
Practice addresses (Care Compare)
1208 E Churchville Rd
Suite 300
Bel Air, MD 21014-3485
Phone (410) 893-4600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe Harbor Behavioral Care, LLC | Clinical | Current | Accepting new patients |
Locations
1208 E Churchville Rd
Ste 300
Bel Air, MD 21014
Phone (410) 838-9500
3060 Mitchellville Rd
Ste 106B
Bowie, MD 20716
Phone (410) 838-9500
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746489600000",
"number": "1043873532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6105 ARBOR STREET",
"city": "CHEVERLY",
"state": "MD",
"postal_code": "207853002",
"telephone_number": "301-204-6199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1208 E CHURCHVILLE RD STE 300",
"city": "BEL AIR",
"state": "MD",
"postal_code": "21014",
"telephone_number": "301-204-6199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "JULYETTE",
"middle_name": "E",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-19",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"deactivation_date": "2021-02-11",
"reactivation_date": "2021-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "24677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.