Talya Kim Van Den Berg, LCSW-C, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

24084 Issued in MD

Practice address

6325 Woodside CT Ste 350
Columbia, MD 21046-1042

Phone

(410) 910-9660

NPI assigned

Apr 18, 2013

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

Other names 1

• Talya Kim Lazarow Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

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  • NPI 1831529767
  NPD (past)
• Shine Medical of Ca PC

  • Psychiatry Physician
  • San Jose, CA
  • NPI 1942935473
  NPD (past)

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1932543162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 WOODSIDE CT STE 350",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461042",
            "telephone_number": "410-910-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 WOODSIDE CT STE 350",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461042",
            "telephone_number": "410-910-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DEN BERG",
        "first_name": "TALYA",
        "middle_name": "KIM",
        "credential": "LCSW-C, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-18",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS25299",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "24084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TALYA",
            "last_name": "LAZAROW",
            "middle_name": "KIM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dylan S Valencia
• Jennifer Valenta, LCSW-C
• Katharine Angela Valente, LCSW-C
• Lisa M Valentine, DDS
• Valvel Health Services
• Jeffery Wayne Van Den Broek, D.O.
• Patricia Elizabeth Van Leer, M.D.
• Kathleen Van Meter, LCSW-C
• Shakita L Van Meter
• Samuel Van Valkenburgh

• Social Worker in Columbia, MD
• Providers in Columbia, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.