Individual provider Active NPI

Carol Berlind, LCSW

  • Clinical Social Worker
  • Mount Vernon, NY
National Provider Identifier
1407900707
Registry record updated Apr 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
077422-1 Issued in NY
Practice address
6 Gramatan Ave
Suite 401
Mt Vernon, NY 10550-3208
Phone
(914) 668-8938
Fax
(914) 668-2545
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2010

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 077422-1 NY Primary

Addresses

Primary practice location

6 Gramatan Ave
Suite 401
Mt Vernon, NY 10550-3208

Mailing address

27 Mt Holly Rd E
Katonah, NY 10536-2400
Phone (914) 668-8938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100715000948 NY Practitioner - Clinical Social Worker 0941332670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Therapy Center LLPGroup PAC ID 4789653577, 14 clinicians

Practice addresses (Care Compare)

333 Adams St
Bedford Hills, NY 10507-2001
Phone 9142420725101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
077422-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
TTC Psychiatric PC CurrentSince May 6, 2016 Accepting new patients

Locations

333 Adams St
Bedford Hills, NY 10507
Phone (914) 241-0758

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271894400000",
    "number": "1407900707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 MT HOLLY RD E",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105362400",
            "telephone_number": "914-668-8938",
            "fax_number": "914-668-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GRAMATAN AVE",
            "address_2": "SUITE 401",
            "city": "MT VERNON",
            "state": "NY",
            "postal_code": "105503208",
            "telephone_number": "914-668-8938",
            "fax_number": "914-668-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLIND",
        "first_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2010-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077422-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

Verify at the official NPI Registry.