MEDICARE: NANCY ANN BERLOW LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	R024045	NY

General Provider Information

NPI Number	:	1396882395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY ANN BERLOW LCSW

Provider Business Mailing Address
First Line	:	14 LESLIE LN
Second Line	:
City	:	HUNTINGTON
State	:	NY
Zip	:	11743-6809
Country	:	US
Telephone Number	:	516-356-7109
Fax Number	:

Provider Business Practice Location Address
First Line	:	14 LESLIE LN
Second Line	:
City	:	HUNTINGTON
State	:	NY
Zip	:	11743-6809
Country	:	US
Telephone Number	:	516-356-7109
Fax Number	:	516-666-4709

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	04/07/2026

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