Individual provider Active NPI

Ina R Berg

  • Social Worker
  • Hyde Park, NY
National Provider Identifier
1194911081
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
R032848 Issued in NY
Practice address
1 W Market St Ste 205
Hyde Park, NY 12538-1303
Phone
(845) 750-2520
Fax
(877) 224-9708
NPI assigned
Sep 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X R032848 NY Primary

Addresses

Primary practice location

1 W Market St Ste 205
Hyde Park, NY 12538-1303

Mailing address

1 W Market St Ste 205
Hyde Park, NY 12538-1303
Phone (845) 750-2520

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
I20180807001199 NY Practitioner - Clinical Social Worker 1951659077 Practice locations: Hyde Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 W Market St
Suite 205
Hyde Park, NY 12538-1303
Phone (845) 750-2520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Janine Defranco LCSW, PLLC Clinical Past Accepting new patients
Astor Home for Children Past Accepting new patients
Counseling Services, LLC Clinical Past Accepting new patients
Astor Home for Children Past Accepting new patients

Organizations & group practices 4

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": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1194911081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W MARKET ST STE 205",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125381303",
            "telephone_number": "845-750-2520",
            "fax_number": "877-224-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W MARKET ST STE 205",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125381303",
            "telephone_number": "845-750-2520",
            "fax_number": "877-224-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "INA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2023-10-25",
        "certification_date": "2021-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R032848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.