Individual provider Active NPI

Wendy Berman, LCSW - C

  • Social Worker
  • Owings Mills, MD
National Provider Identifier
1962717496
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
10051 Issued in MD
Practice address
66 Painters Mill Rd
Suite 204
Owings Mills, MD 21117-3641
Phone
(410) 984-8808
NPI assigned
Aug 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 10051 MD Primary

Addresses

Primary practice location

66 Painters Mill Rd
Suite 204
Owings Mills, MD 21117-3641

Mailing address

66 Painters Mill Rd
Suite 204
Owings Mills, MD 21117-3641
Phone (410) 984-8808

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
10051MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281312000000",
    "number": "1962717496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 PAINTERS MILL RD",
            "address_2": "SUITE 204",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173641",
            "telephone_number": "410-984-8808",
            "fax_number": "443-394-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 PAINTERS MILL RD",
            "address_2": "SUITE 204",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173641",
            "telephone_number": "410-984-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "WENDY",
        "name_prefix": "Ms.",
        "credential": "LCSW - C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2010-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "10051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.