Individual provider Active NPI

Doris L Berardo, LCSW

  • Clinical Social Worker
  • Carmel, NY
National Provider Identifier
1104074731
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
071811-1 Issued in NY
Practice address
660 Stoneleigh Ave
Carmel, NY 10512-2451
Phone
(845) 279-5711
Fax
(845) 278-6253
NPI assigned
Sep 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 071811-1 NY Primary

Addresses

Primary practice location

660 Stoneleigh Ave
Carmel, NY 10512-2451

Mailing address

45 Reade PL
Poughkeepsie, NY 12601-3947
Phone (845) 279-5711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090331000030 NY Practitioner - Clinical Social Worker 6800953290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverview Psychological Services, P.C.Group PAC ID 8123204732, 5 clinicians

Practice addresses (Care Compare)

66 Middlebush Rd
Suite 300
Wappingers Falls, NY 12590-4047
Phone (845) 875-7133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071811-1NYMDClinical Social Worker
071811NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Psychological Services, P.C. CurrentSince Jan 31, 2018 Accepting new patients

Locations

660 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 278-5582

209 Old Route 9
Ste 5
Fishkill, NY 12524
Phone (845) 875-7133

66 Middlebush Rd
Ste 300
Wappingers Falls, NY 12590
Phone (845) 296-1973

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": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1104074731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 READE PL",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013947",
            "telephone_number": "845-279-5711",
            "fax_number": "845-278-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 STONELEIGH AVE",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122451",
            "telephone_number": "845-279-5711",
            "fax_number": "845-278-6253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERARDO",
        "first_name": "DORIS",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071811-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, NY

Sources for this page

Verify at the official NPI Registry.