Individual provider Active NPI

Bonnie Berkowitz, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1306887849
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R038189-01 Issued in NY
Practice address
312 E 85TH St Ste 1
New York, NY 10028-4569
Phone
(212) 799-3924
NPI assigned
Jun 8, 2006
Last updated
Apr 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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 R038189-01 NY Primary

Addresses

Primary practice location

312 E 85TH St Ste 1
New York, NY 10028-4569

Mailing address

500 E 77TH St Apt 2516
New York, NY 10162-0028

Other practice location 1

500 E 77th St Apt 2516
New York, NY 10162-0028
Phone (212) 799-3929

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
R038189-01NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1306887849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E 77TH ST APT 2516",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101620028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E 85TH ST STE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100284569",
            "telephone_number": "212-799-3924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 E 77th St Apt 2516",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101620028",
            "country_code": "US",
            "telephone_number": "212-799-3929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERKOWITZ",
        "first_name": "BONNIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2023-04-11",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R038189-01",
            "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 Apr 11, 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.

Verify at the official NPI Registry.