Nicole Berardi, LCSW
Individual provider Active NPI Clinical Social Worker · Sea Girt, NJ
NPI 1659634004 · NPPES record last updated Jun 20, 2012
Key facts
- NPI
- 1659634004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC05479700 (NJ)
- Practice address
- 2164 Highway 35
BLDG B Suite 6
Sea Girt, NJ 08750-1013 - Phone
- (732) 259-4523
- NPI assigned
- Jun 20, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05479700 | NJ | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05479700 | NJ | Yes |
Addresses
Primary practice location
2164 Highway 35
BLDG B Suite 6
Sea Girt, NJ 08750-1013
Mailing address
715 Central Ave
Spring Lake, NJ 07762-1820
Phone (732) 259-4523
Other providers in Sea Girt, NJ
- Beach Counseling, LLC
- Amy Emiko Beavis
- Victoria L Belko
- Belmar Health LLC
- Robert M. Belott
- Kavita Beri
- Louis Michael Bersalona
- Debra Anne Blair
- Boardwalk Physical Therapy
- Laura Bower
All providers in Sea Girt, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2012. 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.