Active NPI
Beryl Elaine Minkle, LICSW
- Clinical Social Worker
- Cambridge, MA
National Provider Identifier
1386635472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 102742
- Practice address
- 20 Sacramento St
Cambridge, MA 02138-1856 - Phone
- (617) 661-0248
- Fax
- (617) 661-1923
- NPI assigned
- Oct 29, 2005
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 102742 | MA | Primary |
Addresses
Primary practice location
20 Sacramento St
Cambridge, MA 02138-1856
Mailing address
20 Sacramento St
Cambridge, MA 02138-1856
Phone (617) 661-0248
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011984 | Other | MA | HARVARD PILGRIM/PBHC |
| P02830 | Other | MA | BLUECROSS/BLUESHIELD |
| 346214 | Other | MA | MAGELLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2017 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1386635472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 SACRAMENTO ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021381856",
"telephone_number": "617-661-0248",
"fax_number": "617-661-1923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 SACRAMENTO ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021381856",
"telephone_number": "617-661-0248",
"fax_number": "617-661-1923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINKLE",
"first_name": "BERYL",
"middle_name": "ELAINE",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-29",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "102742",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM/PBHC",
"identifier": "011984",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS/BLUESHIELD",
"identifier": "P02830",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "346214",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.