Sara Berger, LCSW

Individual provider Active NPI Clinical Social Worker · Riverdale, NY

NPI 1902809668 · NPPES record last updated Jul 30, 2007

Key facts

NPI
1902809668
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
021607-1 (NY)
Practice address
4525 Henry Hudson Parkway
Apt 810
Riverdale, NY 10471-3811
Phone
(718) 549-2605
Fax
(718) 884-1338
NPI assigned
May 24, 2005
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
021607-1NYMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 021607-1 NY Yes

Addresses

Primary practice location

4525 Henry Hudson Parkway
Apt 810
Riverdale, NY 10471-3811

Mailing address

4525 Henry Hudson Parkway
Apt 810
Riverdale, NY 10471-3811
Phone (718) 549-2605

Other identifiers

IdentifierTypeStateIssuer
021607-1OtherNYNYS LICENSE

Other providers in Riverdale, NY

All providers in Riverdale, NY · Clinical Social Worker in New York

Sources for this page

Verify at the official NPI Registry.