Healthcare Provider Details

I. General information

NPI: 1336069947
Provider Name (Legal Business Name): CAROLE BERBERICH L.AC, MST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13975 CONNECTICUT AVE
SILVER SPRING MD
20906-2921
US

IV. Provider business mailing address

4108 DENFELD AVE
KENSINGTON MD
20895-1513
US

V. Phone/Fax

Practice location:
  • Phone: 202-483-7081
  • Fax:
Mailing address:
  • Phone: 202-483-7081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC30051
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT1325
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: