Emily Perkins Berg, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

114599 Issued in MA

Practice address

1500 Dorchester Ave
Kit Clark Senior Services
Dorchester, MA 02122-1327

Phone

(617) 619-6962

Fax

(617) 350-3499

NPI assigned

Aug 28, 2008

Last updated

Aug 28, 2008By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1689822090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 DORCHESTER AVE",
            "address_2": "KIT CLARK SENIOR SERVICES",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021221327",
            "telephone_number": "617-619-6962",
            "fax_number": "617-350-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 DORCHESTER AVE",
            "address_2": "KIT CLARK SENIOR SERVICES",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021221327",
            "telephone_number": "617-619-6962",
            "fax_number": "617-350-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "EMILY",
        "middle_name": "PERKINS",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Denise Belliveau, LMHC
• Sylvia Stephanie Bello, BACHELORS
• Elizabeth Bendick
• Amel Benrami
• Shainae Bentley
• Joel Berger
• Fred Bernabe
• Marie Bernard, N.P.
• Ian Bernhardt, LCSW
• Shirley Bernier

• Clinical Social Worker in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.