Individual provider Active NPI

Robert S. Berger, PH.D., LCSW-R

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1477556165
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R020447-1 Issued in NY
Practice address
150 West 95TH Street, Suite 1a
New York, NY 10025-6612
Phone
(212) 865-2360
Fax
(425) 871-2360
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R020447-1 NY Primary

Addresses

Primary practice location

150 West 95TH Street, Suite 1a
New York, NY 10025-6612

Mailing address

150 W 95TH St Apt 1a
New York, NY 10025-6612
Phone (718) 884-5563

Other identifiers 1

IdentifierTypeStateIssuer
R020447-1OtherNYNYS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20050330001234 NY Practitioner - Clinical Social Worker 5799732988 Practice locations: Bronx, NY; New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

150 W 95TH St
New York, NY 10025-6612
Phone (212) 865-2360

3600 Fieldston Rd
2G
Bronx, NY 10463-2007
Phone (718) 884-5563

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
R020447-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1477556165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W 95TH ST APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256612",
            "telephone_number": "718-884-5563",
            "fax_number": "425-871-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WEST 95TH STREET, SUITE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256612",
            "telephone_number": "212-865-2360",
            "fax_number": "425-871-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "ROBERT",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCSW-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R020447-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "R020447-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.