Individual provider Active NPI

Jordan Allene Berger

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1942857974
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LG50083046 Issued in DC
Practice address
650 Pennsylvania Ave SE Ste 440
Washington, DC 20003-4424
Phone
(202) 544-5440
NPI assigned
Aug 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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 LG50083046 DC Primary

Addresses

Primary practice location

650 Pennsylvania Ave SE Ste 440
Washington, DC 20003-4424

Mailing address

326 15TH St SE Unit 1a
Washington, DC 20003-2340
Phone (314) 532-6254

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

LicenseStateTypeSpecialty
LG50083046DCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Somatic Collaborative PLLC Clinical Current Accepting new patients

Locations

150 Providence Rd
Ste 100
Chapel Hill, NC 27514
Phone (919) 229-9839

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.

NPI Registry JSON

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1942857974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 15TH ST SE UNIT 1A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200032340",
            "telephone_number": "314-532-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 PENNSYLVANIA AVE SE STE 440",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200034424",
            "telephone_number": "202-544-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "JORDAN",
        "middle_name": "ALLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LG50083046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.