Andrea Bercos

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149012457 Issued in IL

Practice address

3411 N Kennicott Ave
Suite B
Arlington Heights, IL 60004-7813

Phone

(847) 710-0089

Fax

(847) 398-7808

NPI assigned

Jul 5, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1246752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246752000000",
    "number": "1992934566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 N KENNICOTT AVE",
            "address_2": "SUITE B",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600047813",
            "telephone_number": "847-710-0089",
            "fax_number": "847-398-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 N KENNICOTT AVE",
            "address_2": "SUITE B",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600047813",
            "telephone_number": "847-710-0089",
            "fax_number": "847-398-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERCOS",
        "first_name": "ANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-05",
        "last_updated": "2009-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149012457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea D. Bennett, M.D.
• Julianna Bennett
• Joanne Benrud, RN
• Jean Chrystal Benson, M.A., CCC-A
• Kathryn Kristine Benson, PA - C
• Ann Marie K Berg
• Elizabeth Mary Bergen, OTR/L
• Abigail Berger
• Renee Bergum, DPT
• Yechiel Berkowicz, M.D.

• Clinical Social Worker in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2009; 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.