Individual provider Active NPI

Jennifer Berning, LCSW

  • Clinical Social Worker
  • Santa Fe, NM
National Provider Identifier
1841333101
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-07024 Issued in NM
Practice address
2019 Galisteo St Ste M1
Santa Fe, NM 87505-2110
Phone
(505) 988-4131
Fax
(505) 992-6145
NPI assigned
Feb 15, 2007
Last updated
Apr 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C-07024 NM Primary

Addresses

Primary practice location

2019 Galisteo St Ste M1
Santa Fe, NM 87505-2110

Mailing address

2019 Galisteo St Ste M1
Santa Fe, NM 87505-2110
Phone (505) 988-4131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240612004095 NM Practitioner - Clinical Social Worker 8527500966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychotherapy and Pastoral Counseling AssociatesGroup PAC ID 2062780083, 8 clinicians

Practice addresses (Care Compare)

2019 Galisteo St
Suite M1A
Santa Fe, NM 87505-2110
Phone (505) 988-4131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychotherapy & Pastoral Counseling Associates CurrentSince May 5, 2024 Accepting new patients

Locations

2019 Galisteo St
Ste M1A
Santa Fe, NM 87505
Phone (505) 988-4131

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1841333101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 GALISTEO ST STE M1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052110",
            "telephone_number": "505-988-4131",
            "fax_number": "505-992-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 GALISTEO ST STE M1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052110",
            "telephone_number": "505-988-4131",
            "fax_number": "505-992-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNING",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-07024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.