Healthcare Provider Details

I. General information

NPI: 1548197320
Provider Name (Legal Business Name): NAOMI E BERKENBILT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4420 MAPLE AVE
HALETHORPE MD
21227-4048
US

IV. Provider business mailing address

4420 MAPLE AVE
HALETHORPE MD
21227-4048
US

V. Phone/Fax

Practice location:
  • Phone: 443-238-1139
  • Fax: 443-432-4625
Mailing address:
  • Phone: 443-238-1139
  • Fax: 443-432-4625

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: NAOMI BERKENBILT
Title or Position: OWNER
Credential:
Phone: 443-238-1139