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NPI Code Detail

MEDICARE: MS. CATHY BERRY LGSW

MEDICARE: MS. CATHY BERRY LGSW
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
11041C0700XClinical Social WorkerLG50083819DC

General Provider Information

NPI Number : 1679227698
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CATHY BERRY LGSW
Provider Business Mailing Address
First Line : 3829 FERRARA DR
Second Line :
City : SILVER SPRING
State : MD
Zip : 20906-4765
Country : US
Telephone Number : 202-306-6516
Fax Number :
Provider Business Practice Location Address
First Line : 3829 FERRARA DR
Second Line :
City : SILVER SPRING
State : MD
Zip : 20906-4765
Country : US
Telephone Number : 202-306-6516
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2022
Last Update Date : 02/08/2022

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Directions to “ MS. CATHY BERRY LGSW” Practice Location

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