Individual provider Active NPI

Dana Berge, LMSW

  • Social Worker
  • Center Moriches, NY
National Provider Identifier
1235029125
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
127709 Issued in NY
Practice address
234 Main St
Center Moriches, NY 11934-3514
Phone
(631) 874-0185
NPI assigned
Jul 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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 127709 NY Primary

Addresses

Primary practice location

234 Main St
Center Moriches, NY 11934-3514

Mailing address

43 Briar Hill CT
Middle Island, NY 11953-1604
Phone (631) 872-3361

Other practice location 1

2233 Nesconset Hwy
Lake Grove, NY 11755-1000
Phone (631) 602-7856

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
127709NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Qureshi Medical Services PLLC CurrentSince Jul 9, 2025 Accepting new patients
Community Counseling & LCSW Services PC CurrentSince Jul 9, 2025 Accepting new patients

Locations

234 Montauk Hwy
Ctr Moriches, NY 11934
Phone (631) 874-0185

Organizations & group practices 2

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": "1751500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1235029125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 BRIAR HILL CT",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119531604",
            "telephone_number": "631-872-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 MAIN ST",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119343514",
            "telephone_number": "631-874-0185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2233 Nesconset Hwy",
            "address_purpose": "LOCATION",
            "city": "Lake Grove",
            "state": "NY",
            "postal_code": "117551000",
            "country_code": "US",
            "telephone_number": "631-602-7856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGE",
        "first_name": "DANA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "127709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Moriches, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.