Tamara Berthaud, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

058524 Issued in NY

Practice address

3250 Westchester Ave
Suite 200B
Bronx, NY 10461-4500

Phone

(914) 806-1642

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407967128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 LANGDON AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105531443",
            "telephone_number": "914-806-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 WESTCHESTER AVE",
            "address_2": "SUITE 200B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614500",
            "telephone_number": "914-806-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTHAUD",
        "first_name": "TAMARA",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "058524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyla Lauren Berry, LCAT, ATR-BC
• Natasha Antoinette Berry, PA
• Wayne Phillip Berry, PA
• Beth R Berson, DDS
• Ellice Jane Berson, L.C.S.W.
• Ingrid Berthomieux, CHES
• Brandi Bertie, MD
• Lyncia Bertil, LMSW
• Jay Ira Bertin, LCSW
• Paula Bertin

• Clinical Social Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.