Active NPI
Michal Berkson
- Clinical Social Worker
- Fairfax, VA
National Provider Identifier
1780872473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC50078840
- Practice address
- 3018 Javier Rd
Fairfax, VA 22031-4609 - Phone
- (703) 204-9100
- Fax
- (703) 204-9590
- NPI assigned
- Oct 9, 2007
- Last updated
- Jun 23, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC50078840 | DC | Primary |
| Clinical Social Worker | 1041C0700X | ASW 22190 | CA |
Addresses
Primary practice location
3018 Javier Rd
Fairfax, VA 22031-4609
Mailing address
3018 Javier Rd
Fairfax, VA 22031-4609
Phone (703) 204-9100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW 22190 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277251200000",
"number": "1780872473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3018 JAVIER RD",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314609",
"telephone_number": "703-204-9100",
"fax_number": "703-204-9590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3018 JAVIER RD",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314609",
"telephone_number": "703-204-9100",
"fax_number": "703-204-9590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERKSON",
"first_name": "MICHAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-09",
"last_updated": "2010-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50078840",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW 22190",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.