Kimberley L Berlin, LSW, CSAC, SAP, NCRC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0710102772 Issued in VA

Practice address

10640 Page Ave
Fairfax, VA 22030-4000

Phone

(703) 528-8668

NPI assigned

Aug 14, 2015

Last updated

Aug 14, 2015By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1770959603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42395 RYAN RD",
            "address_2": "SUITE 112-116",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201484863",
            "telephone_number": "703-528-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 PAGE AVE",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304000",
            "telephone_number": "703-528-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLIN",
        "first_name": "KIMBERLEY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LSW, CSAC, SAP, NCRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710102772",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0903001841",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharlene Bergeron, BCBA
• Karen Ann Bergin, LCSW
• Frank Berkowitz, MD
• Jessica Berkowitz
• Michal Berkson
• Bronwen Berliner, NP
• Elise L. Berman, MD
• Maeve Wilson Berman
• Robert Stuart Berman, DDS
• Michael John Bermel, O.D.

• Addiction (Substance Use Disorder) Counselor in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Addiction (Substance Use Disorder) Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.