Healthcare Provider Details

I. General information

NPI: 1194651463
Provider Name (Legal Business Name): STEPHANIE M BERARDO MSW/LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 S STATE ROAD 7
PLANTATION FL
33317-4525
US

IV. Provider business mailing address

5023 GRANT ST
HOLLYWOOD FL
33021-5239
US

V. Phone/Fax

Practice location:
  • Phone: 954-999-0818
  • Fax: 954-827-7636
Mailing address:
  • Phone: 954-999-0818
  • Fax: 954-827-7636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberISW20655
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: