Active NPI
Deborra Berlin, LCSW
- Social Worker
- Santa Fe, NM
National Provider Identifier
1295145357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- M-06921
- Practice address
- 3 Casa del Oro LN
Santa Fe, NM 87508-8238 - Phone
- (505) 670-4215
- NPI assigned
- Apr 29, 2014
- Last updated
- Jul 31, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | M-06921 | NM | Primary |
Addresses
Primary practice location
3 Casa del Oro LN
Santa Fe, NM 87508-8238
Mailing address
3 Casa del Oro LN
Santa Fe, NM 87508-8238
Phone (505) 670-4215
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 856000565 | Other | NM | NEW MEXICO DEPARTMENT OF HEALTH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| M-06921 | NM | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1295145357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 CASA DEL ORO LN",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875088238",
"telephone_number": "505-670-4215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 CASA DEL ORO LN",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875088238",
"telephone_number": "505-670-4215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERLIN",
"first_name": "DEBORRA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-29",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "M-06921",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW MEXICO DEPARTMENT OF HEALTH",
"identifier": "856000565",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.