Active NPI
Deloria Berks, LCSW, CASACT
- Clinical Social Worker
- New York, NY
National Provider Identifier
1063644409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 08449-1
- Practice address
- 41 E 11TH St # 51
Suite 40
New York, NY 10003-4602 - Phone
- (646) 494-3134
- NPI assigned
- Aug 19, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 23033 | NY | |
| Clinical Social Worker | 1041C0700X | 08449-1 | NY | Primary |
Addresses
Primary practice location
41 E 11TH St # 51
Suite 40
New York, NY 10003-4602
Mailing address
41 E 11TH St # 51
Suite 40
New York, NY 10003-4602
Phone (646) 494-3134
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23033 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| 08449-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- deloriaberks@tdh.allscriptsdirect.net
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": "1250640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365552000000",
"number": "1063644409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 E 11TH ST # 51",
"address_2": "SUITE 40",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100034602",
"telephone_number": "646-494-3134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 E 11TH ST # 51",
"address_2": "SUITE 40",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100034602",
"telephone_number": "646-494-3134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERKS",
"first_name": "DELORIA",
"credential": "LCSW, CASACT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-19",
"last_updated": "2013-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "23033",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "08449-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.