Individual provider Active NPI

Judith Berk, L.C.S.W.-C

  • Clinical Social Worker
  • Pikesville, MD
National Provider Identifier
1982797221
Registry record updated Nov 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
07962 Issued in MD
Practice address
3418 Midfield Rd
Pikesville, MD 21208-4407
Phone
(410) 446-4158
NPI assigned
Oct 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2023

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 07962 MD Primary

Addresses

Primary practice location

3418 Midfield Rd
Pikesville, MD 21208-4407

Mailing address

3418 Midfield Rd
Pikesville, MD 21208-4407
Phone (410) 446-4158

Other identifiers 3

IdentifierTypeStateIssuer
225627OtherMDMEDICARE
245CJA 61040002OtherMDCAREFIRST
K835 0001OtherDCCAREFIRST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051029000212 MD Practitioner - Clinical Social Worker 3870510720 Practice locations: Pikesville, MD

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1982797221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3418 MIDFIELD RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084407",
            "telephone_number": "410-446-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 MIDFIELD RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084407",
            "telephone_number": "410-446-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERK",
        "first_name": "JUDITH",
        "credential": "L.C.S.W.-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-01",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "07962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "225627",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "245CJA   61040002",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "K835 0001",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

Verify at the official NPI Registry.