Sharon Marie Berlin, LCSW
Individual provider Active NPI Social Worker · Winnetka, IL
NPI 1649772005 · NPPES record last updated Sep 11, 2018
Key facts
- NPI
- 1649772005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 150.015805 (IL)
- Practice address
- 750 Willow Rd
Winnetka, IL 60093-3870 - Phone
- (224) 330-5835
- NPI assigned
- Mar 1, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.015805 | IL | MD | Social Worker |
| 149.020577 | IL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.020577 | IL | |
| Social Worker | 104100000X | 150.015805 | IL | Yes |
Addresses
Primary practice location
750 Willow Rd
Winnetka, IL 60093-3870
Mailing address
750 Willow Rd
Winnetka, IL 60093-3870
Phone (224) 330-5835
Other providers in Winnetka, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2018. 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.