Individual provider Active NPI

Natalia D Vergara-Berenda, LCSW

  • Clinical Social Worker
  • Elizabethtown, PA
National Provider Identifier
1659057966
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW023451 Issued in PA
Practice address
701 E Willow St Apt 20201
Elizabethtown, PA 17022-1736
Phone
(917) 349-7431
NPI assigned
Jun 22, 2023
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW023451 PA Primary

Addresses

Primary practice location

701 E Willow St Apt 20201
Elizabethtown, PA 17022-1736

Mailing address

701 E Willow St Apt 20201
Elizabethtown, PA 17022-1736
Phone (191) 734-9743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1659057966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E WILLOW ST APT 20201",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170221736",
            "telephone_number": "191-734-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E WILLOW ST APT 20201",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170221736",
            "telephone_number": "917-349-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGARA-BERENDA",
        "first_name": "NATALIA",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, PA

Sources for this page

Verify at the official NPI Registry.