Derik Steven Berkebile, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW019024 Issued in PA

Practice address

334 Budfield St Ste 152
Johnstown, PA 15904-3345

Phone

(814) 254-4588

Fax

(814) 254-4215

NPI assigned

Apr 19, 2016

Last updated

Mar 8, 2023By the provider in NPPES

Sex

Male

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

Enrolled in PA

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

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Derik S. Berkebile, LCSW Outpatient Counseling Services

  • Clinical Social Worker
  • Johnstown, PA
  • NPI 1346940905
  NPD Authorized official

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1427402148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 BUDFIELD ST STE 152",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043345",
            "telephone_number": "814-254-4588",
            "fax_number": "814-254-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 BUDFIELD ST STE 152",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043345",
            "telephone_number": "814-254-4588",
            "fax_number": "814-254-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKEBILE",
        "first_name": "DERIK",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-19",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary B Berge, PH.D.
• Karl Berger, MD
• William A. Bergin, D.O.
• Berkebile Chiropractic
• David G Berkebile, D.C.
• Jean Berkebile, PMHNP
• Jessica Berkey, LCSW
• Shannon Berkey, LCSW
• Nadia Eva Bernardy, MPAS, PA-C
• Margaret Bero, CRNA

• Clinical Social Worker in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.