Individual provider Active NPI

Nathalia Sofia Berrios del Valle, MSW

  • Clinical Social Worker
  • Cidra, PR
National Provider Identifier
1417569492
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14968 Issued in PR
Practice address
Urb. Fernandez Calle Kennedy #16 Cidra, PR 00739
Cidra, PR 00739
Phone
(787) 205-3378
NPI assigned
Aug 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 14968 PR Primary

Addresses

Primary practice location

Urb. Fernandez Calle Kennedy #16 Cidra, PR 00739
Cidra, PR 00739

Mailing address

Urb. Fernandez Calle Kennedy #16 Cidra, PR 00739
Cidra, PR 00739
Phone (787) 205-3378

Other identifiers 1

IdentifierTypeStateIssuer
14968OtherPRSTATE DEPARTMENT OF PUERTO RICO / SOCIAL WORKER LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.outlook.com Other

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1417569492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. FERNANDEZ CALLE KENNEDY #16 CIDRA, PR 00739",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-205-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. FERNANDEZ CALLE KENNEDY #16 CIDRA, PR 00739",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-205-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRIOS DEL VALLE",
        "first_name": "NATHALIA",
        "middle_name": "SOFIA",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "14968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DEPARTMENT OF PUERTO RICO / SOCIAL WORKER LICENSE",
            "identifier": "14968",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.outlook.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Mannaging  NON confidentiainformation",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Non Confidential information as today",
            "address_1": "Urb. Fernandez Calle Kennedy 16 Cidra, PR 00739",
            "city": "Cidra",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.