Active NPI
Nathalia Sofia Berrios del Valle, MSW
- Clinical Social Worker
- Cidra, PR
National Provider Identifier
1417569492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14968
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14968 | Other | PR | STATE DEPARTMENT OF PUERTO RICO / SOCIAL WORKER LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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.