NPIMap

Individual provider Active NPI

Alice Berke, LICSW

  • Clinical Social Worker
  • West Stockbridge, MA
National Provider Identifier
1386604247
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110282 Issued in MA
Practice address
38 Main St.
West Stockbridge, MA 01266
Phone
(413) 528-8206
Fax
(413) 232-0111
NPI assigned
Mar 24, 2006
Last updated
Nov 9, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 110282 MA Primary
Clinical Social Worker 1041C0700X 066278 NY

Addresses

Primary practice location

38 Main St.
West Stockbridge, MA 01266

Mailing address

PO Box 204
Monterey, MD 01245
Phone (413) 528-8206

Other names 1

  • Ms. Alice Berke Other name

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
110282MAMDClinical Social Worker
066278NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dennis Marcus MD PC Past Accepting new patients
Massachusetts Society for the Prevention of Cruelty to Children Past Accepting new patients
South County Psychiatric & Psychotherapy Center PastSince Sep 7, 1995 Accepting new patients
Columbia Memorial Hospital Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1386604247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 204",
            "city": "MONTEREY",
            "state": "MD",
            "postal_code": "01245",
            "telephone_number": "413-528-8206",
            "fax_number": "413-232-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 MAIN ST.",
            "city": "WEST STOCKBRIDGE",
            "state": "MA",
            "postal_code": "01266",
            "telephone_number": "413-528-8206",
            "fax_number": "413-232-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKE",
        "first_name": "ALICE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110282",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "066278",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICE",
            "last_name": "BERKE",
            "prefix": "MS.",
            "credential": "LICSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Stockbridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.