Healthcare Provider Details

I. General information

NPI: 1770639924
Provider Name (Legal Business Name): ISABEL MARTINA BERMAN MSW,LGSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2007
Last Update Date: 09/27/2024
Certification Date: 09/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

932 HUNGERFORD DR STE 3A
ROCKVILLE MD
20850-1750
US

IV. Provider business mailing address

302 THOMPSON DAIRY WAY
ROCKVILLE MD
20850-5721
US

V. Phone/Fax

Practice location:
  • Phone: 240-203-6777
  • Fax:
Mailing address:
  • Phone: 240-296-5639
  • Fax: 301-528-4315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number16917
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: