Active NPI
Shirley Berrios, LCSW
- Social Worker
- Bridgeport, CT
National Provider Identifier
1992232987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 006911
- Practice address
- 1635 Central Ave
Bridgeport, CT 06610-2717 - Phone
- (203) 556-1189
- Fax
- (203) 551-7037
- NPI assigned
- May 22, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 006911 | CT | Primary |
Addresses
Primary practice location
1635 Central Ave
Bridgeport, CT 06610-2717
Mailing address
52 Bilyard St
Milford, CT 06461-4014
Phone (203) 556-1189
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
| License | State | Type | Specialty |
|---|---|---|---|
| 006911 | CT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495411200000",
"number": "1992232987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 BILYARD ST",
"city": "MILFORD",
"state": "CT",
"postal_code": "064614014",
"telephone_number": "203-556-1189",
"fax_number": "203-551-7037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 CENTRAL AVE",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066102717",
"telephone_number": "203-556-1189",
"fax_number": "203-551-7037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRIOS",
"first_name": "SHIRLEY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-22",
"last_updated": "2017-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "006911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.