James Berwick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW1692 Issued in FL

Legal business name

JAMES BERWICK, LCSW

Practice address

505 22ND St
St Augustine, FL 32084-1798

Phone

(904) 599-3602

Fax

(904) 461-8368

NPI assigned

Jun 19, 2011

Last updated

Jun 19, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Berwick, LCSWNPI 1265421259

Title

Owner/Operator

Phone

(904) 599-3602

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• James Berwick, LCSW

  • Clinical Social Worker
  • St Augustine, FL
  • NPI 1265421259
  NPD (past) Authorized official

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

{
    "created_epoch": "1308441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308441600000",
    "number": "1659666543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 22ND ST",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320841798",
            "telephone_number": "904-599-3602",
            "fax_number": "904-461-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 22ND ST",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320841798",
            "telephone_number": "904-599-3602",
            "fax_number": "904-461-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES BERWICK, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-19",
        "last_updated": "2011-06-19",
        "status": "A",
        "authorized_official_last_name": "BERWICK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "904-599-3602",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW1692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "761949900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Z4535",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Meredith LMHC LLC
• Christin Jalali
• Sharif Jalil
• James a Joyner III MD P a
• James Alexander, DMD, PA (Alexander Dental)
• James F Connor PA
• James M Grimes Orthopaedics LLC
• Lisa James Taitt
• Edwin James, PHARMD
• Kenneth R James

• Clinical Social Worker in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2011; 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.