Active NPI
David Berk, ASW
- Social Worker
- Citrus Heights, CA
National Provider Identifier
1114384724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 70654
- Practice address
- 7806 Uplands Way
Citrus Heights, CA 95610-7567 - Phone
- (916) 725-0714
- NPI assigned
- Jan 27, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Social Worker | 104100000X | 70654 | CA | Primary |
Addresses
Primary practice location
7806 Uplands Way
Citrus Heights, CA 95610-7567
Mailing address
8851 Salmon Falls Dr Unit F
Sacramento, CA 95826-1947
Phone (916) 969-0877
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70654 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461628800000",
"number": "1114384724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8851 SALMON FALLS DR UNIT F",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958261947",
"telephone_number": "916-969-0877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7806 UPLANDS WAY",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956107567",
"telephone_number": "916-725-0714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERK",
"first_name": "DAVID",
"credential": "ASW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-27",
"last_updated": "2016-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "70654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Citrus Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.