Organization Active NPI

Berring Enterprises LLC

  • Clinical Social Worker
  • Dupont, WA
National Provider Identifier
1619338910
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60246847 Issued in WA
Legal business name
BERRING ENTERPRISES LLC
Practice address
1470 Packwood Ave
Dupont, WA 98327-8801
Phone
(253) 988-5211
NPI assigned
Mar 14, 2016
Last updated
Mar 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Authorized official

Name
Tyvonne Berring, LICSWNPI 1558531103
Title
Licensed Clinical Social Worker
Phone
(253) 988-5211

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 LW60246847 WA Primary

Addresses

Primary practice location

1470 Packwood Ave
Dupont, WA 98327-8801

Mailing address

1470 Packwood Ave
Dupont, WA 98327-8801
Phone (253) 988-5211

Other identifiers 1

IdentifierTypeStateIssuer
LW60246847OtherWADOH LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1619338910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 PACKWOOD AVE",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983278801",
            "telephone_number": "253-988-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 PACKWOOD AVE",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983278801",
            "telephone_number": "253-988-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRING ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "BERRING",
        "authorized_official_first_name": "TYVONNE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "253-988-5211",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60246847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH LICENSE",
            "identifier": "LW60246847",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dupont, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.