Darlene C Berryman Licsw LLC
Organization Active NPI Clinical Social Worker · Pittsfield, MA
NPI 1104284041 · NPPES record last updated Sep 24, 2024
Key facts
- NPI
- 1104284041
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 110903 (MA)
- Legal business name
- DARLENE C BERRYMAN LICSW LLC
- Practice address
- 22 Gordon St
Pittsfield, MA 01201-6442 - Phone
- (413) 770-7569
- NPI assigned
- Feb 7, 2016
- Organization subpart
- No
Authorized official
- Name
- Darlene Berryman, LICSW
- Title
- Owner
- Phone
- (413) 770-7569
Practitioners 4
-
Darlene Chupp Berryman, LICSW
-
Michelle Renee Perrier, MSW,LICSW
-
Lucian Radu-Radulescu, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160229000496 | MA | Part B Supplier - Clinic/Group Practice | 9436454535 |
Receives reassigned benefits from 4 practitioners Practice locations: Pittsfield, MA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 110903 | MA | Yes |
Addresses
Primary practice location
22 Gordon St
Pittsfield, MA 01201-6442
Mailing address
22 Gordon St
Pittsfield, MA 01201-6442
Phone (413) 770-7569
Other providers in Pittsfield, MA
- John C Dallenbach
- Kara Daly
- Jamie Damaral
- Mary Jo Danis
- John L Danylak
- Mishal Darley Joseph
- Michele Darroch
- Lisa Das
- Neha Das
- Patricia Dasilva-McEwan
All providers in Pittsfield, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.