Active NPI
Marla S Berman, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1417008129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R-049193-1
- Practice address
- 55 E 9TH St
Apt 7G
New York, NY 10003-6322 - Phone
- (212) 726-8006
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | R-049193-1 | NY | Primary |
Addresses
Primary practice location
55 E 9TH St
Apt 7G
New York, NY 10003-6322
Mailing address
55 E 9TH St
Apt 7G
New York, NY 10003-6322
Phone (212) 726-8006
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
| License | State | Type | Specialty |
|---|---|---|---|
| R-049193-1 | NY | MD | Clinical Social Worker |
| 049193 | NY | MD | General Practice Dentistry |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639699200000",
"number": "1417008129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 E 9TH ST",
"address_2": "APT 7G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100036322",
"telephone_number": "212-726-8006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 E 9TH ST",
"address_2": "APT 7G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100036322",
"telephone_number": "212-726-8006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERMAN",
"first_name": "MARLA",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2021-12-17",
"certification_date": "2021-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R-049193-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.