Pamela M Berkowitz, LCSW

Individual provider Active NPI Clinical Social Worker · Melrose Park, IL

NPI 1205970720 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1205970720
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
1414 Main St
Melrose Park, IL 60160-3902
Phone
(708) 681-0073
Fax
(708) 681-3958
NPI assigned
Feb 17, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
149009862ILMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X IL Yes

Addresses

Primary practice location

1414 Main St
Melrose Park, IL 60160-3902

Mailing address

1414 Main St
Melrose Park, IL 60160-3902
Phone (708) 681-0073

Other providers in Melrose Park, IL

All providers in Melrose Park, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.