Organization Active NPI

Barbara Berger, LCSW, LLC

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1538447123
Registry record updated Sep 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW7906 Issued in FL
Legal business name
BARBARA BERGER, LCSW, LLC
Practice address
7301 W Palmetto Park Rd Ste 210B
Boca Raton, FL 33433-3456
Phone
(954) 821-7475
Fax
(561) 477-2722
NPI assigned
Jul 29, 2011
Last updated
Sep 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2020

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

Authorized official

Name
Barbara Ellen Berger, MSSWNPI 1407884372
Title
LCSW
Phone
(954) 821-7475

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW7906 FL Primary

Addresses

Primary practice location

7301 W Palmetto Park Rd Ste 210B
Boca Raton, FL 33433-3456

Mailing address

9858 Clint Moore Rd
Suite C-111 #114
Boca Raton, FL 33496-1044
Phone (954) 821-7475

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110816000817 FL Part B Supplier - Clinic/Group Practice 0143499723 Receives reassigned benefits from 1 practitioner
Practice locations: Delray Beach, FL

National Provider Directory

National Provider Directory

Locations

9858 Clint Moore Rd
#C111114
Boca Raton, FL 33496

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599955200000",
    "number": "1538447123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9858 CLINT MOORE RD",
            "address_2": "SUITE C-111 #114",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334961044",
            "telephone_number": "954-821-7475",
            "fax_number": "561-477-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 W PALMETTO PARK RD STE 210B",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333456",
            "telephone_number": "954-821-7475",
            "fax_number": "561-477-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA BERGER, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-29",
        "last_updated": "2020-09-13",
        "certification_date": "2020-09-13",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "954-821-7475",
        "authorized_official_credential": "MSSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.