Allen Stuart Berenson, MSW
Individual provider Active NPI Clinical Social Worker · Springfield, VA
NPI 1487739702 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487739702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 870 (VA)
- Practice address
- 8348 Traford LN Ste 400
Springfield, VA 22152-1650 - Phone
- (703) 866-2122
- Fax
- (703) 451-7359
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 870 | VA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 870 | VA | Yes |
Addresses
Primary practice location
8348 Traford LN Ste 400
Springfield, VA 22152-1650
Mailing address
8348 Traford LN Ste 400
Springfield, VA 22152-1650
Phone (703) 866-2122
Other providers in Springfield, VA
- Johnathan Belt
- Jade Jasmine Bender-Burnett
- Erica Yamilex Benitez
- Benjamin Adewale MD PC
- Maya Bennett
- Shannan E Bergtholdt
- Yonas Berhane
- Ronea Berner
- Rebekah Terese Bernstein
- Karen J Berube
All providers in Springfield, VA · Clinical Social Worker in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.