| Darlene C Berryman Licsw Llc | |
|
22 Gordon St Pittsfield MA 01201-6442 | |
| (413) 770-7569 | |
| Not Available |
| Full Name | Darlene C Berryman Licsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 22 Gordon St, Pittsfield, Massachusetts |
| Authorized Official Name and Position | Darlene Berryman (OWNER) |
| Authorized Official Contact | 4137707569 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Darlene C Berryman Licsw Llc 22 Gordon St Pittsfield MA 01201-6442 Ph: (413) 770-7569 | Darlene C Berryman Licsw Llc 22 Gordon St Pittsfield MA 01201-6442 Ph: (413) 770-7569 |
| NPI Number | 1104284041 |
|---|---|
| Provider Enumeration Date | 02/07/2016 |
| Last Update Date | 02/07/2016 |
| Medicare PECOS PAC ID | 9436454535 |
|---|---|
| Medicare Enrollment ID | O20160229000496 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104284041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 110903 (Massachusetts) | Primary |
| Provider Name | Michelle R Perrier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720129570 PECOS PAC ID: 2466519178 Enrollment ID: I20090325000299 |
| Provider Name | Darlene C Berryman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376766121 PECOS PAC ID: 5597958124 Enrollment ID: I20101015000073 |
| Provider Name | Lucian Radu-radulescu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356533319 PECOS PAC ID: 4082764394 Enrollment ID: I20140326002342 |
| Provider Name | Sharon Maxwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730335381 PECOS PAC ID: 0345522652 Enrollment ID: I20170123000476 |
| Provider Name | Megan M Clarke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568971661 PECOS PAC ID: 7012283245 Enrollment ID: I20180109000309 |
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