Active NPI
Warren Berland, LCSW, PH.D.
- Clinical Social Worker
- New York, NY
National Provider Identifier
1245392109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PR024845-1
- Practice address
- 231 W 29TH St
RM 301
New York, NY 10001-5551 - Phone
- (212) 645-5332
- NPI assigned
- Dec 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | PR024845-1 | NY | Primary |
Addresses
Primary practice location
231 W 29TH St
RM 301
New York, NY 10001-5551
Mailing address
16 Becker Hill Rd
Milan, NY 12571-4149
Phone (212) 645-5332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 10, 2023 through Jul 10, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR024845-1 | NY | MD | Clinical Social Worker |
| 025845 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528329600000",
"number": "1245392109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 BECKER HILL RD",
"city": "MILAN",
"state": "NY",
"postal_code": "125714149",
"telephone_number": "212-645-5332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 W 29TH ST",
"address_2": "RM 301",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100015551",
"telephone_number": "212-645-5332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERLAND",
"first_name": "WARREN",
"name_prefix": "Dr.",
"credential": "LCSW, PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2018-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "PR024845-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.