Individual provider Active NPI

Richard Kevin Berlinberg, MSW

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1205073509
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801065000 Issued in MI
Practice address
11410 Coral Bay Dr
Boca Raton, FL 33498-1921
Phone
(561) 445-2372
Fax
(561) 477-3698
NPI assigned
Jan 8, 2009
Last updated
Jan 8, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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 6801065000 MI Primary

Addresses

Primary practice location

11410 Coral Bay Dr
Boca Raton, FL 33498-1921

Mailing address

11410 Coral Bay Dr
Boca Raton, FL 33498-1921
Phone (561) 445-2372

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

LicenseStateTypeSpecialty
6801065000MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231372800000",
    "number": "1205073509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11410 CORAL BAY DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334981921",
            "telephone_number": "561-445-2372",
            "fax_number": "561-477-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11410 CORAL BAY DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334981921",
            "telephone_number": "561-445-2372",
            "fax_number": "561-477-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLINBERG",
        "first_name": "RICHARD",
        "middle_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801065000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.