Pamela Moser Berkwitz, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10861 Issued in MN

Practice address

13100 Wayzata Blvd
Suite 400
Minnetonka, MN 55305-1802

Phone

(952) 546-0616

Fax

(952) 573-1778

NPI assigned

Dec 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184792541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 FRANCE AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554163820",
            "telephone_number": "952-920-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 WAYZATA BLVD",
            "address_2": "SUITE 400",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051802",
            "telephone_number": "952-546-0616",
            "fax_number": "952-573-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKWITZ",
        "first_name": "PAMELA",
        "middle_name": "MOSER",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "10861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "226525700 600908500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "79B77BE 3G377LA SW",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH & MEDICA",
            "identifier": "6249297",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory G Berglund, MD
• Jonathan Mark Bergly
• Michelle Louise Bergsrud, DDS
• Maria N. Bergstrand, MD
• Mark Bergstrand, M.D.
• Zoe Spencer Bernard
• Bruce E. Berns, FNP
• Laura Berryman
• Bertone Speech Language & Communication Services
• Monica Anne Beshara, RN, WOCN, NP-C

• Clinical Social Worker in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.