Individual provider Active NPI

Joseph Berger, LICSW

  • Clinical Social Worker
  • Burlington, VT
National Provider Identifier
1871968404
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089-0110716 Issued in VT
Practice address
2 Church St Ste 4a
Burlington, VT 05401-4457
Phone
(802) 391-9080
NPI assigned
Dec 8, 2015
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2 Church St
Suite 4a
Burlington, VT 05401-4406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089-0110716VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Works Inc. Clinical Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 089-0110716 VT Primary

Addresses

NPPES NPI Registry

Primary practice location

2 Church St Ste 4a
Burlington, VT 05401-4457

Mailing address

354 Manhattan Dr
Unit 1
Burlington, VT 05401-4281
Phone (914) 456-6609

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1026237MedicaidVT

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Other URL doxy.me Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 14, 2022.

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1871968404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 MANHATTAN DR",
            "address_2": "UNIT 1",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014281",
            "telephone_number": "914-456-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CHURCH ST STE 4A",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014457",
            "telephone_number": "802-391-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "JOSEPH",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-08",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089-0110716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026237",
            "state": "VT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "doxy.me",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2 Church St Ste 4A",
            "city": "Burlington",
            "state": "VT",
            "country_code": "US",
            "postal_code": "054014457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.