Individual provider Active NPI

Marc Elliot Berman, MSW

  • Clinical Social Worker
  • Dover, MA
National Provider Identifier
1326035569
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
102429 Issued in MA
Practice address
30 Springdale Ave
Dover, MA 02030-2374
Phone
(508) 785-2319
Fax
(508) 785-3221
NPI assigned
Oct 3, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 102429 MA Primary

Addresses

Primary practice location

30 Springdale Ave
Dover, MA 02030-2374

Mailing address

PO Box 326
Dover, MA 02030-0326
Phone (508) 785-2319

Other identifiers 1

IdentifierTypeStateIssuer
S021326OtherMACHAMPIS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100503000040 MA Practitioner - Clinical Social Worker 0244366284 Practice locations: Lee, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

45 Pinnacle Way
Lee, MA 01238-9670
Phone (508) 785-9711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
102429MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1326035569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 326",
            "city": "DOVER",
            "state": "MA",
            "postal_code": "020300326",
            "telephone_number": "508-785-2319",
            "fax_number": "508-785-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SPRINGDALE AVE",
            "city": "DOVER",
            "state": "MA",
            "postal_code": "020302374",
            "telephone_number": "508-785-2319",
            "fax_number": "508-785-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "MARC",
        "middle_name": "ELLIOT",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "102429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPIS",
            "identifier": "S021326",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, MA

Sources for this page

Verify at the official NPI Registry.