Jacqueline Berliner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SC06541 Issued in NJ

Practice address

460 Bloomfield Ave
Suite 209
Montclair, NJ 07042-3582

Phone

(973) 429-1057

Fax

(973) 783-9226

NPI assigned

Nov 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679652259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 BLOOMFIELD AVE",
            "address_2": "SUITE 209",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423582",
            "telephone_number": "973-429-1057",
            "fax_number": "973-783-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 BLOOMFIELD AVE",
            "address_2": "SUITE 209",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423582",
            "telephone_number": "973-429-1057",
            "fax_number": "973-783-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLINER",
        "first_name": "JACQUELINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "SC06541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "JB0NC59100",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5494120",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P1024529",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Bennett, RD
• Billy Benson, LCSW
• Barry Joseph Benzing, PA-C
• Mara Michelle Berganovsky, MSN CNM WHNP-BC
• Yelena Berlin
• Jessica Berliner, MS
• Francis Berlingeri, MD
• Amanda Jane Bernard, BCBA
• Nadine Bernard, RDT
• Joselyn A Berrios, MSW, LSW

• Clinical Social Worker in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.