Malak Berro, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801108412 Issued in MI

Practice address

1 Heritage Dr Ste 261
Southgate, MI 48195-2574

Phone

(734) 778-0663

NPI assigned

Nov 10, 2020

Last updated

Nov 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellness Counseling LLCGroup PAC ID 7012335326, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wellness Counseling L.L.C.

  dba Wellness Counseling

  • Social Worker
  • Southgate, MI
  • NPI 1841707262
  Medicare reassignment Care Compare group
• Internal Healing Services LLC

  • Clinical Social Worker
  • Dearborn Heights, MI
  • NPI 1316603590
  NPD Authorized official

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1336741743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 ROSETTA ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272345",
            "telephone_number": "313-467-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HERITAGE DR STE 261",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952574",
            "telephone_number": "734-778-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRO",
        "first_name": "MALAK",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801108412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMSW LICENSE ID",
            "identifier": "6801108412",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryan D. Beller, D.C.
• Christina Louise Benkert, D.O. MPH
• Alic Berdin
• David Alejando Bermudez, PHARMD
• Brittany L Berns
• Zeinab Mohamad Berro
• Corey Berry
• Yvonne Louise Berry, M.A.L.L.P.C.
• Best America Medical Equipment Inc
• Jennifer Beswick, NP

• Clinical Social Worker in Southgate, MI
• Providers in Southgate, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.