Stephanie A Berry, MED

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Hartford, CT

NPI 1982251815 · NPPES record last updated Aug 26, 2019

Key facts

NPI
1982251815
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
55 Fishfry St
Hartford, CT 06120-1203
Phone
(860) 247-8300
NPI assigned
Aug 26, 2019
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Community Substance Abuse Centers, Inc. Addiction (Substance Use Disorder) Past
since Sep 1, 2019
Accepting new patients
Community Physicians PC Past
since Sep 1, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

55 Fishfry St
Hartford, CT 06120-1203

Mailing address

55 Fishfry St
Hartford, CT 06120-1203
Phone (860) 508-3921

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL Bolton
CONNECT URL bolton Direct
Other URL hartford
CONNECT URL swalker@hcrcenters.com
CONNECT URL swalker@hcrcenters.com

Other providers in Hartford, CT

All providers in Hartford, CT · Addiction (Substance Use Disorder) Counselor in Connecticut

Sources for this page

Verify at the official NPI Registry.