Active NPI
Erica Rose Berge, MSW, LCSW
- Clinical Social Worker
- Centennial, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09926211
- Practice address
- 6551 S Revere Pkwy Ste 160
Centennial, CO 80111-6469 - Phone
- (720) 335-7444
- Fax
- (720) 306-5502
- NPI assigned
- Aug 7, 2012
- Last updated
- Jul 17, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | CSW.09926211 | CO | Primary |
Addresses
Primary practice location
6551 S Revere Pkwy Ste 160
Centennial, CO 80111-6469
Mailing address
6551 S Revere Pkwy Ste 160
Centennial, CO 80111-6469
Phone (720) 335-7444
Other practice location 1
6551 S Revere Pkwy Ste 255
Centennial, CO 80111-6471
Phone (720) 335-7444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CSW.09926211 | Other | CO | LCSW |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW.09926211 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Original Path Counseling, LLC | Clinical | Current | Accepting new patients |
Locations
6551 S Revere Pkwy
Ste 160
Centennial, CO 80111
Phone (720) 335-7444
6551 S Revere Pkwy
Ste 255
Centennial, CO 80111
Phone (720) 335-5572
Interoperability endpoints
- erica.berge@hca3.eclinicaldirectplus.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594944000000",
"number": "1497002646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6551 S REVERE PKWY STE 160",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801116469",
"telephone_number": "720-335-7444",
"fax_number": "720-306-5502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6551 S REVERE PKWY STE 160",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801116469",
"telephone_number": "720-335-7444",
"fax_number": "720-306-5502"
}
],
"practiceLocations": [
{
"address_1": "6551 S Revere Pkwy Ste 255",
"address_purpose": "LOCATION",
"city": "Centennial",
"state": "CO",
"postal_code": "801116471",
"country_code": "US",
"telephone_number": "720-335-7444",
"fax_number": "720-306-5502",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERGE",
"first_name": "ERICA",
"middle_name": "ROSE",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-07",
"last_updated": "2020-07-17",
"certification_date": "2020-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09926211",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "CSW.09926211",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.